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

The Behavioral Health Care Coach assesses and evaluates member's 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 Care Coach Coordinator work assignments are often straightforward and of moderate complexity.

The Behavioral Health Care Coach employs a variety of strategies, approaches, and techniques to manage a member's health issues.

• Identifies and resolves barriers that hinder effective care.

• Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning.

• Understands own work area professional concepts/standards, regulations, strategies, and operating standards.

• Makes decisions regarding own work approach/priorities and follows direction.

• Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.

The Behavioral Health Care Coach assesses and evaluates member's needs and requirements to establish a member specific care plan and coordinates services.

• Ensures members are receiving services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs.

• Plan and implement interventions to meet care needs.

• Coordinates services, monitors, and evaluates the case management plan against the member's personal goals.

• Guides members/families towards resources appropriate for their care. Services are driven by facilitating interactions with other payer sources, providers, interdisciplinary teams and others involved in the member’s care as appropriate and required by our comprehensive contract.

• Ability to visit Medicaid members as needed in their homes, Assisted Living Facilities, and/or Long-Term Care Facilities and other care settings

Use your skills to make an impact
 

Required Qualifications

The Behavioral Health Care Coach must meet one (1) of the following requirements:

• Master’s degree in social work, nursing, rehabilitation, psychology or related health and human services area with experience working with members with behavioral health conditions including serious mental illness and/or substance use disorder

• Bachelor’s degree from an accredited university or college in nursing, psychology, social work, early childhood education, child development or a related field with experience working with members with behavioral health and/or substance use disorder

The Behavioral Health Care Coach must meet all the following requirements:

• 1 year experience in health care and/or case management.

• 1 year experience with Medicare & Medicaid recipients and/or long- term care and/or Home and Community based services and/or working with managed care organizations.

• Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.

• Exceptional communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders.

• Proven ability of critical thinking, organization, written and verbal communication and problem-solving skills.

• Ability to manage multiple or competing priorities in a fast-paced environment.

• Ability to use a variety of electronic information applications/software programs including electronic medical records

Additional Information:

Workstyle: Hybrid - Remote work at Home and the position may also require member facing visits in the field

Location: Requires residence in the following South Carolina Counties: Charleston, Colleton, Hampton, Jasper, Beaufort, Dorchester, Berkeley,

Work Schedule: Monday - Friday; 8am - 5pm Eastern Time.

Travel: 40% Possible field travel and onsite training as needed, 2-3 days weekly

Tuberculosis (TB) Screening:

​ This role is considered patient facing and is a part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB

Driver’s License, Automobile Insurance Policy:

• Possession of a valid driver's license and access to a reliable automobile

• This role is part of Humana’s Driver safety program and therefore requires an individual to have a valid state driver’s licens