Description
As a Behavioral Health Case Manager at Humana Healthy Horizons, you will assess enrollees' needs and help individuals and families access clinical, community, and social resources to achieve or maintain optimal wellness.
You will report to the Manager, Care Management Behavioral Health, and primarily support enrollees with complex and intensive health needs.
Responsibilities:
- Conduct telephonic and face-to-face assessments to evaluate each enrollee's behavioral, physical, environmental, and psychosocial needs
- Develop individualized, person-centered care plans and guide enrollees and families to appropriate clinical, community, and social resources
- Identify and resolve barriers to effective care, monitor progress, and adjust interventions as needed
- Collaborate with the interdisciplinary care management team to coordinate holistic support
- Apply clinical expertise and professional judgment to determine when face-to-face support is appropriate
Requirements:
- Active Registered Nurse (RN) license or Licensed Master Level Social Worker license (LCSW, LMSW, LPC, LMFT or similar)
- Minimum 1-year Behavioral Health clinical experience
- 2 or more years of recent experience in case or care management
- Experience working with Medicaid and/or Medicare Enrollees
- Knowledge of community health and social service agencies
- Comprehensive knowledge of Microsoft Office applications, including Word, Excel, and PowerPoint
Preferred Qualifications:
- Experience working in Community Mental Health or as part of a crisis response team or Assertive Community Treatment (ACT) team
- Experience working with both children and adults
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
Workstyle:
- Remote, field-based position serving members throughout an assigned South Carolina service area
- Requires a dedicated workspace that protects member privacy and complies with PHI and HIPAA requirements
Travel:
- At least 50% local travel for face-to-face meetings and field-based interactions with enrollees, their families, providers, and staff
Workdays and Hours:
- Monday-Friday, 8:00 a.m.-5:00 p.m.
Pay Range:
- $65,000 - $88,600 per year