
10,000+ employees
Founded 1961
🏥 Healthcare
🛡️ Insurance
⚕️ Healthcare Insurance
Healthcare • Insurance • Healthcare Insurance
Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.
🕒 August 17
🌽 Illinois – Remote
💵 $59.3k - $80.9k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
👔 Manager
🦅 H1B Visa Sponsor
👻 Ghost score 10%
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10,000+ employees
Founded 1961
🏥 Healthcare
🛡️ Insurance
⚕️ Healthcare Insurance
Healthcare • Insurance • Healthcare Insurance
Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.
• Telephonically assess, evaluate, and support members with mental illness and complex medical situations • Guide members and families toward appropriate care and wellbeing resources • Educate and empower members to make healthcare decisions • Provide guidance and clinical expertise for navigating the healthcare setting • Conduct ongoing telephone consultations to support quality care • Collaborate with a multidisciplinary team • Manage members’ physical, environmental, and psychosocial health issues • Identify and resolve barriers to effective care • Monitor progress toward desired outcomes through assessments and evaluations • Create member care plans as needed • Coordinate community care and services • Conduct proactive telephonic outreach to eligible Humana members • Complete physical, psychological, emotional, and environmental assessments • Recommend and coordinate interventions, including information, education, resources, and referrals • Work with Interdisciplinary team members including LAL, IHWA, Social Services, Pharmacists, Psychiatrists, Utilization Management teams, Community Health Educators, and EAP • Use Motivational Interviewing and Solution-Oriented approaches • Comply with Humana performance and reporting standards
• Bachelor's degree • 3+ years of experience working as a Licensed Clinical Social Worker or Licensed Clinical Professional Counselor • Licensure in field of study within the state of Illinois with no disciplinary action, or ability to obtain Illinois licensure • 1 year of managed care experience • Passion for contributing to an organization focused on improving consumer experiences • Preferred: Master's degree in a behavioral-health field from an accredited university • Preferred: Bilingual proficiency in English/Spanish, English/Polish, or English/Creole, including speaking, reading, and writing without limitations or assistance • Preferred: Certified Case Manager (CCM) • Preferred: Experience with case management, discharge planning, and patient education for adult acute care • Preferred: Managed care experience • Preferred: Prior experience with Medicare and Medicaid recipients • Preferred: Experience with electronic case note documentation and multiple computer applications/systems • Preferred: Experience with health promotion, coaching, and wellness • Preferred: Knowledge of community health and social service agencies and community resources • Must meet language proficiency testing requirements when speaking with members in a language other than English • Home internet service with minimum 25 Mbps download and 10 Mbps upload speeds • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
• Bonus incentive plan based on company and/or individual performance • Medical, dental and vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Personal wellness and smart healthcare decision support
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