Telephonic Behavioral Health Care Manager

Humana

1d•$59,300 - $80,900•Remote

About The Position

The Care Manager, Telephonic Behavioral Health 2 assesses and evaluates members’ needs and requirements to help them achieve or maintain optimal wellness. The role guides members and families toward appropriate resources and facilitates their interaction with resources supporting members’ care and wellbeing. Work assignments are varied and frequently require interpretation and independent determination of appropriate courses of action. The Care Manager uses a variety of strategies, approaches, and techniques to manage members’ physical, environmental, and psychosocial health issues and identify and resolve barriers to effective care. The role monitors members’ care through assessments and evaluations to ensure progress toward desired outcomes and may create member care plans. The position requires understanding organizational strategies and objectives, making decisions about one’s own work methods—including occasional decisions in ambiguous situations—and following established guidelines and procedures, with minimal direction and guidance as needed. This is a remote, telephonic position with a 40-hour workweek. The schedule is an eight-hour shift between 8:00 AM and 6:00 PM in the employee’s local time zone. Occasional overtime may be requested based on business needs. Occasional travel to Humana offices for training or meetings may be required. Employees must have suitable internet service and a dedicated workspace that protects member PHI/HIPAA information. Humana provides telephone equipment appropriate to the role’s business requirements. Associates working from home in California, Illinois, Montana, or South Dakota receive a biweekly payment for internet expenses.

Requirements

Current valid social service license, such as LMSW, LCSW, LPC, or LMHC.
Master’s degree in a behavioral-health field, such as social work, counseling, or a related health discipline, from an accredited university.
At least 2 years of experience working as a behavioral health professional.
Experience with behavioral change, health promotion, and coaching.
Proficiency with Microsoft Office programs, including Word, Excel, and PowerPoint, shared systems, and troubleshooting and resolving general technical issues.
For home work, internet service must meet the stated minimum speed requirement of 25 Mbps download and 10 Mbps upload; wireless, wired cable, or DSL is suggested. Satellite, cellular, or microwave connections require leadership approval.
Ability to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information.

Nice To Haves

Experience supporting patients telephonically.
Experience working in Community Mental Health, as part of a crisis response team or Assertive Community Treatment (ACT) team, or in substance use disorder treatment.
Experience working with both children and adults.
Bilingual English/Spanish fluency in reading, writing, and speaking; language proficiency assessment will be performed.

Responsibilities

Assess and evaluate members’ needs and requirements to support optimal wellness.
Guide members and families toward appropriate resources and facilitate interaction with those resources.
Use strategies, approaches, and techniques to manage members’ physical, environmental, and psychosocial health issues.
Identify and resolve barriers that hinder effective care.
Monitor member care through assessments and evaluations to ensure progress toward desired outcomes.
Create member care plans when appropriate.
Understand departmental, segment, and organizational strategy and operating objectives and their relationship to related areas.
Make decisions about work methods, including occasionally in ambiguous situations, and follow established guidelines and procedures.

Benefits

Medical insurance
Dental insurance
Vision insurance
401(k) retirement savings plan
Paid time off
Company and personal holidays
Paid parental and caregiver leave
Short-term disability
Long-term disability
Life insurance
Bonus incentive plan based on company and/or individual performance
Biweekly internet-expense payment for associates who live and work from home in California, Illinois, Montana, or South Dakota