Care Manager, Telephonic Behavioral Health

🔥 0 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $59.3k - $80.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

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Humana

WebsiteLinkedInAll Job Openings

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.

📋 Description

• Telephonically assess, evaluate, and support members challenged by mental illness and complex medical situations • Educate and empower members to make healthcare decisions • Provide guidance and clinical expertise for navigating the healthcare setting • Consult with members by telephone to support quality care • Guide members and families toward appropriate care and wellbeing resources • Collaborate with a multidisciplinary team to manage physical, environmental, and psychosocial health issues • Coordinate community care and services • Conduct proactive telephonic outreach to eligible Humana members • Engage members in appropriate care management programs • Complete physical, psychological, emotional, and environmental assessments • Recommend and coordinate information, education, resources, referrals, and other interventions • Work with interdisciplinary team members including social services, pharmacists, psychiatrists, utilization management teams, community health educators, and EAP • Use Motivational Interviewing and Solution-Oriented approaches • Monitor member care and progress toward desired outcomes • Create member care plans as needed • Comply with Humana performance and reporting standards

🎯 Requirements

• 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 improving consumer experiences • Preferred: Master's degree in a behavioral-health field such as social work, psychology, or related health discipline from an accredited university • Preferred: Bilingual English/Spanish, English/Polish, or English/Creole, with ability to speak, read, and write both languages 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: Electronic case note documentation and multiple computer applications/systems • Preferred: Health promotion, coaching, and wellness experience • Preferred: Knowledge of community health and social service agencies and community resources • Home internet service with at least 25 Mbps download and 10 Mbps upload • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information

🏖️ Benefits

• Bonus incentive plan • Medical benefits • Dental benefits • 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 • Self-provided home internet meeting minimum speed requirements • Remote work from a dedicated space protecting member PHI/HIPAA information