Telephonic Behavioral Health Care Manager

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

Join Humana Gold Plus-Integrated in Illinois as a Behavioral Health Care Manager and make a meaningful impact every day. In this rewarding role, you'll telephonically connect with members facing complex medical and mental health challenges, providing compassionate support and expert guidance that empowers them to thrive. Together with a collaborative interdisciplinary team, your efforts will uniquely bridge mind and body care—helping each member achieve their best possible health and wellbeing. Experience the fulfillment of helping others while growing your career with Humana.

• 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.
  
  

Required Qualifications

Use your skills to make an impact

• 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.
  
  

WAH Internet

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 required; 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 individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$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, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to 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. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.