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

Humana Healthy Horizons in Florida is seeking a Care Management Behavioral Health Professional who will help patients dealing with issues such as addiction, abuse or mental illness by providing behavioral health services. The Care Management Behavioral Health Professional’s work assignments are often straightforward and of moderate complexity.

The Care Management Behavioral Health Professional will work with members in the case management program, engaged in ABA services (Applied Behavioral Analysis). The Care Management Behavioral Health Professional will outreach to members/guardians to engage them in the Care Management Program and will screen member for social determinants of health (SDOH), medical and other identified needs, closing gaps in care. The Care Management Professional will provide members with community resources, attend case conferences with treatment providers to address clinical progress as needed, and will work with member/family to ensure all gaps are closed related to ABA and member’s needs. The Care Management Professional will screen and assist with other needs such as but not limited to: Speech/OT/PT, Psychological, Neuropsychological testing.

• 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.

Use your skills to make an impact
 

Required Qualifications:

• Bachelor’s degree in nursing, social work, or behavioral health related field OR 3+ years of experience working with individuals receiving ABA (Applied Behavioral Analysis) services.
• Registered Behavior Technician with 2+ years’ experience.
• AHCA Level II Background Check is required.

Preferred Qualifications:

• Experience working in managed care.
• BCBA (Board Certified Behavioral Analyst).
• Care Management/Care Coordination experience.
• RN or LPN with experience working with children with autism spectrum disorder.
• Master’s- LCSW, LMHC with experience working with children with autism spectrum disorder.

Additional Information

• Workstyle: Home. Home workstyle is defined as remote but will use Humana office space on an as needed basis for collaboration and other face-to-face needs.  
• Work Location: preferred to reside in Florida
• Typical Work Days/Hours: Monday – Friday, 8:30 am – 5:00 pm EST.

WAH Internet Statement

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.

HireVue

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

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

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 individua