Care Manager, Telephonic Behavioral Health
About The Position
The Telephonic Care Manager will be part of the Humana Military Case Management team, providing a comprehensive, holistic approach for Behavioral Health Case Management throughout the continuum of care. You will have personal interaction with beneficiaries to address behavioral health needs and conditions identified through direct referrals, predictive analytics, or diagnosis triggers. You will help them to address immediate care needs, treatment plan adherence, and develop coping skills. As a remote care manager you will report to a Manager of Care Management. You will serve as the primary point of contact and coordinator for the beneficiary for all activities within the clinical spectrum. You will coordinate and collaborate with Military Treatment Facilities (MTF), other Care Management programs (such as Disease Management and Utilization Management), physicians, staff, or providers to ensure there is a fully integrated care plan addressing all beneficiary needs and conditions.
Requirements
- U.S. citizenship required.
- Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services).
- Must have a current, valid, and unrestricted license as a Mental Health (MH)/Behavioral Health (BH) Professional in at least ONE of the following: Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Mental Health Counselor (LMHC), Licensed Masters Social Worker (LMSW) AND/OR Clinical Psychologist (Ph.D.).
- 3 years of clinical experience, which may include managed care experience.
- Ability to obtain a Certified Care Manager (CCM) within the first year of hire.
- Experience in managing mental health crisis intervention.
- Self-provided internet service with at minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps; wireless, wired cable or DSL connection is suggested.
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Nice To Haves
- An active designation as a Certified Care Manager (CCM).
- Experience in Acute inpatient hospital case management.
- Experience with Medical/Behavioral Health Case Management Programs.
- Experience with TRICARE policies and/or the military health care delivery system.
Responsibilities
- Provide a comprehensive, holistic approach for Behavioral Health Case Management throughout the continuum of care.
- Have personal interaction with beneficiaries to address behavioral health needs and conditions identified through direct referrals, predictive analytics, or diagnosis triggers.
- Help beneficiaries address immediate care needs, treatment plan adherence, and develop coping skills.
- Serve as the primary point of contact and coordinator for the beneficiary for all activities within the clinical spectrum.
- Coordinate and collaborate with Military Treatment Facilities (MTF), other Care Management programs (such as Disease Management and Utilization Management), physicians, staff, or providers to ensure there is a fully integrated care plan addressing all beneficiary needs and conditions.
Benefits
- Medical benefits
- Dental benefits
- Vision benefits
- 401(k) retirement savings plan
- Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
- Short-term disability
- Long-term disability
- Life insurance
- Bi-weekly payment for internet expense (for associates in California, Illinois, Montana, or South Dakota)
- Telephone equipment provided
- Bonus incentive plan
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
