Behavioral Health Care Manager

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

The Behavioral Health Care Manager, 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 well being 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.

• Supports Humana member’s access to behavioral health services, including a focus on the increased need in behavioral health services
• Provide member outreach and education related to behavioral health including assessing risk, determining appropriate care in individual patient communities, and collaborating with providers as well as clinicians across other Humana departments
• 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 member is progressing towards desired outcomes by continuously monitoring member 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

Schedule will require an 8 hour shift between 8:00 AM and 6:00 PM in your local time zone. Occasional overtime may be requested as business needs.

• Current valid social service license, e.g. MSW, LCSW, LPC, LMHC
• Master's degree in a behavioral-health field, such as social work, counseling, or related health discipline from an accredited university
• 2+ years in an integrated care setting managing members with both Behavioral Health needs and/or Substance Use such as crisis experience (includes ER), community mental health center, behavioral health inpatient, assertive community treatment, etc
• Experience with behavioral change, health promotion, coaching and/or wellness
• Proficiency utilizing software programs, (e.g., Word, Excel & PowerPoint & shared systems) troubleshoot and resolve general technical issues

• Bilingual (English/Spanish), with ability to pass a Language Proficiency Assessment
• Experience supporting patients telephonically
• Experience working in Community Mental Health or as part of a crisis response team or Assertive Community Treatment (ACT) team, and substance use disorder treatment
• Experience working with both children and adults

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 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.

Language Assessment Information

Any Humana employee who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.

Travel:
While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.