Remote Behavioral Health Care Manager

Humana Inc; Northern (KY); Hybrid; USD 78,000 - 108,000; Full time

Job summary

Humana Inc in South Carolina seeks a Manager, Care Management Behavioral Health to lead nurses and behavioral health professionals delivering care management for members. This remote role requires SC RN license or equivalent, BSN or master's level clinician, and strong data analysis and NCQA experience.

You'll drive cross‑department collaboration, remove barriers to care, and align with organizational strategies while guiding teams to optimal wellness outcomes.

Qualifications

• Unrestricted RN license in SC or equivalent licensure.
• BSN or licensed master level clinician in psychology or social work.
• 5+ years behavioral health experience.
• 2+ years of management experience.
• 2+ years care coordination/case management experience.
• Proficient in data analysis and Microsoft Office.
• Experience with Medicaid/Medicare and NCQA coordination/audits.

Responsibilities

• Oversees assessment and evaluation of members' behavioral health needs.
• Guides members/families toward resources for care and wellbeing.
• Makes decisions on resources, approach, and tactical operations for projects.
• Works cross departmentally; conducts briefings and area meetings.
• Identifies and resolves barriers to effective care; aligns with strategy.

Skills

Behavioral health experience

Management experience

Care coordination

Data analysis

Microsoft Office

Medicaid/Medicare experience

NCQA familiarity

Utilization management

Education

BSN

Licensed Master Level Clinician (LCSW/LMSW/LMSW-ACP/CSW/LPC/LMFT)

Tools

MS Office

Job description

Humana Inc in South Carolina seeks a Manager, Care Management Behavioral Health to lead nurses and behavioral health professionals delivering care management for members. This remote role requires SC RN license or equivalent, BSN or master's level clinician, and strong data analysis and NCQA experience.

You'll drive cross‑department collaboration, remove barriers to care, and align with organizational strategies while guiding teams to optimal wellness outcomes.