Care Manager, Telephonic Behavioral Health
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 of Health Services. Additionally, you will be in a field role and will require up to 25% travel visiting members or facilities within the state of South Carolina.
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 TOC and may conduct field visits based on member needs and program requirements.
Use your skills to make an impact
Required Qualifications
Bachelor's degree
Must live in the state of South Carolina
3 or more years of experience working as a licensed Social Worker
Hold an active and unrestricted license as a Behavioral Health Professional in South Carolina, such as; Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Social Worker (LSW)
Preferred Qualifications
Master's 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
CCM certification
Experience working with the geriatric population
Knowledge of community health and social service agencies and additional community resources
Additional Information
Workstyle: Remote Work at Home with Field requirements
Field - This is a field position where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes.
Location: South Carolina
Work Schedule: Monday - Friday; 8:00 AM - 5:00 PM Eastern Time
Travel: 25%
Work at Home Guidance To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
Satellite, cellular and microwave connection can be used only if approved by leadership
Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
TB
This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
Driving Statement:
This role is part of our company's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.
Medicaid Mileage Reimbursement
We provide mileage reimbursement for work-related travel. Eligible mileage includes:
Travel from your home to your first work location of the day.
Travel between client or assignment locations during the workday.
Travel from your final work location back to your home.
Scheduled Weekly Hours
40Pay 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.
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, volunteer time off, 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 at Humana.com and at CenterWell.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.