Licensed Telephonic Behavioral Health Professional Care Manager

Profile

Description

The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action

The department prefers residence in South Carolina, but may consider residences in North Carolina and Georgia that are within close proximity to the South Carolina border.

Responsibilities

The Care Manager, Telephonic Behavioral Health 2 employs a variety of strategies, approaches and techniques to manage a member's behavioral, environmental and psycho-social health issues.

Identifies and resolves barriers that hinder effective care.

Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations.

May create member care plans.

Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.

Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

Required Qualifications

Bachelor's degree in social sciences, social work, human services or a related field with - one (1) year of Medicare/Medicaid Program experience OR Licensed Professional Counselor (LPC) OR Licensed Social Worker (LSW)

3 years of Human Services experience

1 year Case Management

Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Additional Requirements / Adherence

Workstyle: Remote Work at Home

Location: South Carolina

Alternate Locations:

May consider residences in North Carolina and Georgia that are within close proximity to the South Carolina border.

Schedule: Monday - Friday 8:00 AM - 5:00 PM Eastern Time

Travel: 5% Once per quarter as business needs

Additional Requirements

Must have a separate room with a locked door that can be used as a home office to ensure you and your patients have absolute and continuous privacy while you work.

Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 25x10 (25mbs download x 10mbs upload) is required.

Preferred Qualifications

Master's degree

Experience with case management, discharge planning and patient education for adult acute care

Managed care experience

Certified Case Manager (CCM)

Additional Information

Covid Policy

Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.

Interview Process

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

Company info

Humana Inc.
Website : http://www.humana.com