The Care Manager, Telephonic Behavioral Health 2, 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 wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
Responsibilities
Location: Remote
Humana is seeking a Care Manager, Telephonic Behavioral Health 2 to telephonically assess, evaluate, and support members who are challenged by both mental illness and complex medical situations. Our goal is to provide support for both mind and body to allow each member to achieve and/or maintain their optimal health.
Apply your clinical knowledge to educate and empower your 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. You will guide members and their families toward and facilitate interaction with resources appropriate for their care and wellbeing. You will work in collaboration with a multi-disciplinary team, employing a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Coordinate community care and services as deemed appropriate. Comply with performance and reporting standards as defined by Humana.
Other responsibilities include:
Proactive telephonic outreach 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
Coordinate community care and services as deemed appropriate
Work collaboratively with other members of the Interdisciplinary team - to include; 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
The working hours for this position are between 8:00am-7:00pm eastern standard time; but core hours are primarily 9:00am-5:30pm eastern standard time.
Role Essentials
Licensed Masters level trained Behavioral Health Social Worker
Must be licensed in Alabama
Minimum of 3 years or more of experience in social services/behavioral health direct patient care
Ability to interact effectively with multi-disciplinary team members in virtual environment
Strong computer skills and experience with Microsoft Word and Excel
Excellent keyboard and web navigation skills
Exceptional communication and interpersonal skills with the ability to quickly build rapport
Ability to conceptualize and present clinical cases in concise and clear manner
The working hours for this position are between 8:00am-7:00pm eastern standard time; but core hours are primarily 9:00am-5:30pm eastern standard time. Must be able to work during those hours
A separate room with a locked door that can be used as a home office to ensure you and your patients has absolute and continuous privacy while you work
Role Desirables
Knowledge of community health and social service agencies and additional community resources
Additional Information
Humana is an organization with careers that change lives - including yours. As an innovator in the fast-paced industry of healthcare, we offer our associates careers that challenge, support and inspire them to use their passion for helping others and to lead their best lives. If you're ready to help people achieve lifelong well-being, and be a part of an organization that is growing and poised to make an impact on the future of healthcare, Humana has the right opportunity for you.
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