Care Manager, Telephonic Behavioral Health

🔥 0 minutes ago

💵 $59.3k - $80.9k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

Where this job comes from

Posted on Humana's careers page, not through a job board

First seen by Remote Rocketship 0 minutes ago

Logo of Humana

Humana

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

• Perform telephonic and face-to-face assessments and evaluations of members' needs • Guide members and families toward appropriate care, wellbeing, community, and social-service resources • Monitor care through assessments and evaluations to ensure progress toward desired outcomes • Create member care plans • Manage behavioral, physical, environmental, and psychosocial health needs using varied strategies and techniques • Identify and resolve barriers to effective care • Determine when face-to-face enrollee support is required and coordinate in-person meetings • Collaborate with interdisciplinary care management teams, providers, and community services • Promote quality and cost-effective outcomes • Make independent decisions about work methods and appropriate courses of action • Follow established guidelines and procedures

🎯 Requirements

• Must reside in Oklahoma • Active Registered Nurse (RN) license, or a Licensed Master Level Social Worker (LCSW, LPC, LMFT) • Minimum 1-year Behavioral Health clinical experience • 2 or more years of experience in in-home case or care management • Experience working with Medicaid and/or Medicare Enrollees to coordinate services, care needs, or benefits • Exceptional communication and interpersonal skills with the ability to quickly build rapport • Knowledge of community health and social service agencies and additional community resources • Comprehensive knowledge of Microsoft Office applications, including Word, Excel and PowerPoint • Periodic travel to Humana Oklahoma City office for meetings and training • Valid driver's license with reliable transportation and ability to travel within the state • Proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits • Must complete tuberculosis (TB) screening if selected • Home internet with minimum 25 Mbps download and 10 Mbps upload speeds • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information

🏖️ Benefits

• Bonus incentive plan based upon company and/or individual performance • Medical, dental and vision benefits • 401(k) retirement savings plan • Paid time off • Company and personal holidays • Paid parental and caregiver leave • Short-term and long-term disability • Life insurance • Home-based work arrangement • Dedicated workspace and internet requirements to support remote work • Professional training and meetings • Mileage/travel-related work support is implied by required travel, but no specific allowance is stated

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