Behavioral Health Care Manager
About the role
The Behavioral Health Care Manager (Care Manager, Telephonic Behavior Health 2) in a telephonic environment assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state. They guide members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. Work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
Responsibilities
- Identify and resolve barriers that hinder effective care.
- Ensure patients are progressing towards desired outcomes by continuously monitoring patient care through assessments and evaluations.
- Create member care plans.
- Understand 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 receive guidance where needed.
- Follow established guidelines/procedures.
Requirements
- An active, unrestricted Registered Nurse (RN) license in the state of South Carolina.
- An active, unrestricted social work license in South Carolina in one of the following disciplines: Licensed Independent Social Worker – Clinical Practice (LISW-CP), Licensed Master Social Worker (LMSW) or Licensed Professional Counselor (LPC).
- Reside in the state of South Carolina.
- Three (3) or more years of clinical acute care experience in a behavioral health setting.
- One (1) or more years of care coordination/care management experience.
- Experience with serious mental illness specialty population.
- Comprehensive knowledge of Microsoft Office applications including Excel, and Outlook.
Qualifications
- Bachelor’s degree in nursing (BSN).
- Experience with case management, discharge planning and patient education for adult acute care.
- Managed care experience.
- Certified Case Manager (CCM).
Skills
Preferred qualifications include a bachelor’s degree in nursing (BSN), experience with case management, discharge planning and patient education for adult acute care, managed care experience, and Certified Case Manager (CCM) certification.
Benefits
Humana offers comprehensive benefits that support whole-person well-being, including medical, dental, and vision benefits, a 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. Humana also provides an incentive plan based on company and/or individual performance.
Pay
The compensation range for this role is $59,300 - $80,900 per year.
Schedule
This is a remote position with some travel. Work schedule is Monday - Friday; 8:00 AM - 5:00 PM Eastern Time. Occasional travel to Humana's offices for training or meetings may be required. Scheduled weekly hours are 40.