Care Manager, Telephonic Behavioral Health

Humana

2d • $59,300 - $80,900 • Remote

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. They will have personal interaction with beneficiaries to address behavioral health needs and conditions identified through direct referrals, predictive analytics, or diagnosis triggers, helping them to address immediate care needs, treatment plan adherence, and develop coping skills. The Telephonic Case Manager will assess, plan, coordinate, implement, monitor, and evaluate the care needs of TRICARE beneficiaries over the phone, to maximize each beneficiary's capacity for self-care to enhance their quality of life and achieve desired clinical outcomes. 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).
• In your state of residency, you 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.

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

• Assess, plan, coordinate, implement, monitor, and evaluate the care needs of TRICARE beneficiaries over the phone.
• Maximize each beneficiary's capacity for self-care to enhance their quality of life and achieve desired clinical outcomes.
• 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, dental and vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level