Overview

Telephonic Behavioral Health Care Manager – Humana

This range is provided by Humana. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range: $59,300.00/yr - $80,900.00/yr

Responsibilities

• Apply clinical knowledge to educate and empower members to take charge of their own healthcare decisions.
• Provide guidance and clinical expertise on how to navigate through the health care setting.
• Provide ongoing consultation with members via telephone to ensure that they are receiving the best quality of care possible.
• Guide members and their families toward and facilitate interaction with resources appropriate for their care and wellbeing.
• Coordinate community care and services as deemed appropriate.
• Proactively outreach telephonically to eligible Humana members and engage participation in appropriate care management programs.
• Complete physical, psychological, emotional and environmental assessments, for the purpose of providing appropriate, timely interventions to ensure provision of optimal care.
• Based on identified needs, recommend and/or coordinate interventions that may include information, education, resources and referrals.
• Work collaboratively with other members of the Interdisciplinary team including LAL, IHWA, Social Services, Pharmacists, Psychiatrists, Utilization Management teams, Community Health Educators, EAP and others if appropriate.
• Comply with performance and reporting standards as defined by Humana Corporation.
• Utilize motivational interviewing and solution-oriented approaches in communication with members.

Qualifications

Required Qualifications

• Master\'s degree in a behavioral-health field, such as social work, psychology, or related health discipline from an accredited university.
• Licensed Social Worker (LSW) or Licensed Clinical Social Worker (LCSW) in the state of Illinois or ability to obtain IL licensure.
• Minimum of 3 years of experience working as a licensed Social Worker.

Preferred Qualifications

• CCM certification.
• Managed care experience.
• Bilingual in English/Spanish.
• Experience working with the geriatric population.
• Knowledge of community health and social service agencies and additional community resources.

Additional Information

• Workstyle: remote, work from home.
• Work Location: Illinois preferred.
• Typical work days/hours: Monday – Friday, 8:00am – 5:00pm CST, occasional flexibility in scheduling may be required to accommodate member needs.
• Travel: Occasional travel to Humana\'s offices for training or meetings may be required.

Internet and Equipment

• To ensure home or hybrid home/office employees’ ability to work effectively, internet service must meet criteria of minimum speeds (25 Mbps download, 10 Mbps upload).
• Humana will provide home or hybrid employees with telephone equipment appropriate to meet business requirements.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Hiring Process

As part of our hiring process, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability.

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

Scheduled Weekly Hours

40

Pay Range

$59,300 - $80,900 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description Of Benefits

Humana offers competitive benefits that support whole-person well-being. Benefits include medical, dental, vision, 401(k), paid time off and holidays, disability coverage, life insurance, and additional opportunities.

About Us

Humana Inc. is committed to putting health first for teammates, customers and the company. Through Humana and CenterWell services, we aim to make it easier for people to achieve their best health.

Equal Opportunity Employer

Humana does not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. Humana complies with applicable laws and affirmative action requirements.

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• Management

Industries

• Hospitals and Health Care