Care Manager Telephonic Behavioral Health

Become a part of our caring community

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

You will report to the Manager, Care Management.

The Care Manager, Telephonic Behavioral Health 2 employs 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. May create member care plans. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Support the Transition of Care (TOC) program, which focuses on ensuring continuity of care for members as they move between care settings (such as hospital discharge to home or outpatient care). You will be assisting with HEDIS completion follow up visits after facility discharge for TOC and may conduct field visits based on member needs and program requirements.

Note there may be occasional travel of 5-10% to support collaboration, conduct face-to-face meetings, and engage directly with staff, providers, members, and their families. Applicants should reside within the state of South Carolina.

Required Qualifications

Must live in the state of South Carolina

Must have an active license in South Carolina in either a Licensed Professional Counselor (LPC), Licensed Independent Social Worker - Clinical Practice (LISW - CP), Licensed Independent Social Worker – Advanced Practice (LISW-AP)

1 or more years of related work experience

Preferred Qualifications

Bachelor's or masters degree in a behavioral-health field, such as social work, psychology, or related health discipline from an accredited university

1 year of managed care experience

Transition of care (TOC) experience for both Physical Health and/or Behavioral Health

1 year of Inpatient Behavioral Health or Case Management experience in a hospital setting

Experience working with the Medicaid population

Knowledge of community health and social service agencies and additional community resources

Location: South Carolina

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

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.