Care Manager, Telephonic Behavioral Health

🔥 8 minutes ago

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Logo of Humana

Humana

10,000+ employees

Founded 1961

⚕️ 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.

📋 Description

• assesses and evaluates members' needs in a telephonic environment • achieve and maintain wellness state by guiding members/families toward and facilitating interaction with resources • employ 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 • create member care plans • support the Transition of Care (TOC) program • assist with HEDIS completion follow up visits after TOC and may conduct field visits based on member needs and program requirements

🎯 Requirements

• Must live in the state of South Carolina • Must have an active license in South Carolina in one of these; either a Licensed Professional Counselor (LPC), Licensed Independent Social Worker - Clinical Practice (LISW - CP), Licensed Masters Social Worker (LMSW), Licensed Baccalaureate Social Work (LBSW), Registered Nurse (RN) OR Licensed Practical Nurse (LPN) • 1 or more years of related work experience • Able to travel 25%

🏖️ Benefits

• 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

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