Care Manager Telephonic Behavioral Health

Humana, Inc.; United States; Remote; USD 59,000 - 81,000; Full time

Benefits offered by this job

Medical, dental and vision benefits

401(k) retirement savings plan

Paid time off and holidays

Job summary

Humana, Inc. is seeking a Care Manager for Telephonic Behavioral Health to assess member needs and guide them to appropriate resources via phone. The role supports Transition of Care and may involve HEDIS follow-up after hospital discharge.

Travel of 5-10% may be required; candidates must reside in South Carolina and hold an SC license (LPC/LISW-CP/LISW-AP). Typical schedule is 40 hours per week with remote work options.

Qualifications

• Must live in the state of South Carolina.
• Must have an active license in SC (LPC, LISW-CP, LISW-AP).
• 1+ years of related work experience.

Responsibilities

• Assess and evaluate members' needs in a telephonic environment to guide toward appropriate resources.
• Manage barriers to care and ensure progress toward outcomes with care plans.
• Support Transition of Care (TOC) to ensure continuity between care settings.
• Assist with HEDIS follow-up visits after facility discharge for TOC.

Skills

SC license required

LISW-CP/LISW-AP license

SC residency

1+ years experience

Education

Bachelor's or Master's in behavioral-health field

CCM certification (preferred)

Job description

Become a part of our caring community
The Care Manager, Telephonic Behavioral Health, assesses and evaluates members' needs in a telephonic environment. The goal is to achieve and maintain wellness state by guiding members/families toward and facilitating interaction with resources appropriate for the care and wellbeing of members. The Care Manager, Telephonic Behavioral Health work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
You will report to the Manager, Care Management.

The Care Manager, Telephonic Behavioral Health 2 employs a variety of strategies and techniques to manage a member's physical, environmental and psycho-social health issues. Resolve barriers that hinder care. Ensure patient is progressing towards desired outcomes by monitoring patient care through assessments and evaluations. May create member care plans. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Support the Transition of Care (TOC) program , which focuses on ensuring continuity of care for members as they move between care settings (such as hospital discharge to home or outpatient care). You will be assisting with HEDIS completion follow up visits after facility discharge for TOC and may conduct field visits based on member needs and program requirements.

Note there may be occasional travel of 5-10% to support collaboration, conduct face-to-face meetings, and engage directly with staff, providers, members, and their families. Applicants should reside within the state of South Carolina.

Use your skills to make an impact

Required Qualifications

• Must live in the state of South Carolina
• Must have an active license in South Carolina in either a Licensed Professional Counselor (LPC), Licensed Independent Social Worker - Clinical Practice (LISW - CP) , Licensed Independent Social Worker – Advanced Practice (LISW-AP)
• 1 or more years of related work experience

Preferred Qualifications

• Bachelor's or masters degree in a behavioral-health field, such as social work, psychology, or related health discipline from an accredited university
• 1 year of managed care experience
• Transition of care (TOC) experience for both Physical Health and/or Behavioral Health
• 1 year of Inpatient Behavioral Health or Case Management experience in a hospital setting
• CCM certification
• Experience working with the Medicaid population
• Knowledge of community health and social service agencies and additional community resources

Additional Information

• Workstyle: Remote with occasional travel for business
• Location: South Carolina
• Work Schedule: Monday - Friday; 8:00 AM - 5:00 PM Eastern Time
• Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
  Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
• Scheduled Weekly Hours: 40
• Pay Range: The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
  $59,300 - $80,900 per year
  This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
• Description of Benefits: Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.