Care Manager, Telephonic Behavioral Health

Humana · Remote South Carolina · $59,300 - $80,900 per year · remote The Care Manager, Telephonic Behavioral Health, assesses and evaluates members' needs in a telephonic environment. The goal is to achieve and maintain a wellness state by guiding members/families toward and facilitating interaction with resources appropriate for the care and wellbeing of members. The Care Manager, Telephonic Behavioral Health works assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. You will report to the Manager, Care Management. Responsibilities Employ a variety of strategies and techniques to manage a member's physical, environmental, and psycho-social health issues. Resolve barriers that hinder care. Ensure patients are progressing towards desired outcomes by monitoring patient care through assessments and evaluations. Create member care plans. Understand department, segment, and organisational strategy and operating objectives, including their linkages to related areas. Support the Transition of Care (TOC) program, which focuses on ensuring continuity of care for members as they move between care settings. Assist with HEDIS completion follow-up visits after facility discharge for TOC and may conduct field visits based on member needs and program requirements. Requirements Live in the state of South Carolina. Have an active license in South Carolina in either a Licensed Professional Counselor (LPC), Licensed Independent Social Worker - Clinical Practice (LISW-CP), or Licensed Independent Social Worker – Advanced Practice (LISW-AP). 1 or more years of related work experience. Preferred Qualifications Bachelor's or master's degree in a behavioural-health field, such as social work, psychology, or related health discipline from an accredited university. 1 year of managed care experience. Transition of care (TOC) experience for both Physical Health and/or Behavioural Health. 1 year of Inpatient Behavioural Health or Case Management experience in a hospital setting. CCM certification. Experience working with the Medicaid population. Knowledge of community health and social service agencies and additional community resources. Benefits Medical, dental, and vision benefits. 401(k) retirement savings plan. Time off (including paid time off, company and personal holidays, paid parental and caregiver leave). Short-term and long-term disability. Life insurance. Schedule Monday - Friday; 8:00 AM - 5:00 PM Eastern Time. Remote work with occasional travel for business (5-10%).