Become a part of our caring community and help us put health first
 

The Behavioral Health Care Manager, Telephonic 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Behavioral Health Care Manager’s work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

The Behavioral Health Care Manager, Telephonic 2 employs a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues.

• Identifies and resolves barriers that hinder effective care.

• Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations.

• May create member care plans.

• Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.

• Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed.

• Follows established guidelines/procedures.

• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Use your skills to make an impact
 

Required Qualifications

Must meet one (1) of the following:

• Unrestricted active licensed Registered Nurse (RN) in the state of South Carolina with no active disciplinary action

• Master's degree clinician in the field of social work, nursing, rehabilitation, psychology or related health and human services and licensed in South Carolina in one of the following, LCSW, LMSW, LMSW-ACP, CSW, LPC, LMFT without disciplinary action.

Must meet all of the following:

• 3+ years of clinical acute care experience in a behavioral health setting

• Experience with serious mental illness specialty population

• 1 year Care Coordination/Case Management

• Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook

Preferred Qualifications

• For RN, BSN

• Experience with case management, discharge planning and patient education for adult acute care

• Managed care experience

• Certified Case Manager (CCM)

Additional Information

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

Location: Must reside in South Carolina

Travel: Ability to travel on site for trainings as needed

Remote Work at Home Guidance

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 recommended; wireless, wired cable or DSL connection is suggested

• Satellite, cellular and microwave connection can be used only if approved by leadership

• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

• Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Interview Process

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor.  This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview.  If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided.  Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.