Description

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.

The Behavioral Health Care Manager

• 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.

Use your skills to make an impact

Required Qualifications

• 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

Preferred Qualifications

• 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

Additional Information

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.

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.

$59,300 - $80,900 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.

Application Deadline: 12-18-2025
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.

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.
Requisition #: R-396421

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