Care Manager, Telephonic Behavioral Health
HumanaAbout the role
Become a part of our caring community
The Telephonic Care Manager will be part of the Humana Military Case Management team, providing a comprehensive, holistic approach for Behavioral Health Case Management throughout the continuum of care. You will have personal interaction with beneficiaries to address behavioral health needs and conditions identified through direct referrals, predictive analytics, or diagnosis triggers. You will help them to address immediate care needs, treatment plan adherence, and develop coping skills.
As a remote care manager you will report to a Manager of Care Management. You will serve as the primary point of contact and coordinator for the beneficiary for all activities within the clinical spectrum. You will coordinate and collaborate with Military Treatment Facilities (MTF), other Care Management programs (such as Disease Management and Utilization Management), physicians, staff, or providers to ensure there is a fully integrated care plan addressing all beneficiary needs and conditions.
Use your skills to make an impact
Required Qualifications
- Our Department of Defense Contract requires U.S. citizenship for this position.
- Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services)
- HGB is not authorized to do work in Puerto Rico per our government contract. We are not able to hire candidates that are currently living in Puerto Rico.
- In your state of residency, you must have a current, valid, and unrestricted license as a Mental Health (MH)/Behavioral Health (BH) Professional in at least ONE of the following: Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Mental Health Counselor (LMHC), Licensed Masters Social Worker (LMSW) AND/OR Clinical Psychologist (Ph.D.).
- 3 years of clinical experience, which may include managed care experience.
- Ability to obtain a Certified Care Manager (CCM) within the first year of hire.
- Experience in managing mental health crisis intervention.
Preferred Qualifications
- An active designation as a Certified Care Manager (CCM).
- Experience in Acute inpatient hospital case management.
- Experience with Medical/Behavioral Health Case Management Programs.
- Experience with TRICARE policies and/or the military health care delivery system.
Additional Information
Work Style: Remote Work Schedule: Monday – Friday; must be able to work an 8-hour shift between the hours of 8:00 a.m. – 6 p.m. EST (Eastern Standard Time)
Training/Training Hours: Mandatory for the first 4 weeks between the hours 8:00 a.m. – 5:00 p.m. EST (Eastern Standard Time)
Work at Home Requirements
To ensure Hybrid Office/Home associates' ability to work effectively, the self-provided internet service of Hybrid Office/Home associates 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
- Associates 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 associates 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
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and indiviApply for this role
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