Care Manager Telephonic Behavioral Health

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

Benefits offered by this job

Medical benefits

Dental & Vision

401(k) plan

Paid time off

Job summary

Humana is seeking a Care Manager, Telephonic Behavioral Health, to assess and support members’ wellness remotely. You will evaluate needs, guide families to resources, and coordinate with care teams to ensure smooth transitions of care, including TOC initiatives after hospital discharge.

Remote role with occasional travel (5-10%) and a requirement to reside in South Carolina. The schedule is Monday–Friday, 8:00 AM–5:00 PM ET, with comprehensive benefits and a performance-based bonus eligible

Qualifications

• Must reside in South Carolina.
• Active licensure in SC (LPC/LISW-CP/LISW-AP).
• 1+ year of related work experience.

Responsibilities

• Assess and evaluate members' needs via telephonic contact.
• Guide members and families to behavioral health resources.
• Coordinate with care teams and TOC program to ensure continuity of care.
• May conduct field visits and support discharge planning as required.

Skills

Active licensure

Education

Bachelor's or Master's in behavioral-health

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 nee