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

The Senior Care Manager, Telephonic Behavioral Health , 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. Serves as state Guardianship Liaison for Humana Healthy Horizons in KY MCD plan. The Senior Care Manager, Telephonic Behavioral Health work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

The Senior Care Manager, Telephonic Behavioral Health

• 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 patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations
• Role manages associate caseload for BH referrals
• Facilitation of Integrated Clinical Rounds (prepare members for discussion, lead meeting, provide follow-up notes)
• Role has 100% oversight of our KY MCD guardianship membership
• All members under state guardianship will be followed in some level of care management to ensure monitoring of ongoing care coordination and access to needed social, community, medical and Behavioral Health Services
• Serves as state Guardianship Liaison for Humana Healthy Horizons in KY MCD plan
• Complete a monthly report of Adult Guardianship Cases, that goes to our BH Director and ultimately KDMS
• Attend in-person quarterly meetings at Humana corporate in Louisville, Ky

Use your skills to make an impact

Required Qualifications

• Must reside in Kentucky or a bordering state
• Master's degree in a behavioral-health field, such as social work, psychology, or related health discipline
• 3 + years of experience working as a licensed Social Worker
• Licensure in field of study within the state individual will be required to practice
• 1 year of managed care experience

Preferred Qualifications

• Bilingual
• Experience managing members under state guardianship
• CCM certification
• Knowledge of KY Medicaid state contract, community health and social service agencies and additional community resources

Additional Information

Work at Home 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.

Modern Hire Statement

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.

$65,000 - $88,600 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.

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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.