Description
At Humana, you're part of a caring community that looks after its members, patients, and employees. As a Manager, Care Management Behavioral Health, you'll lead teams of nurses and behavioral health professionals responsible for care management.
Job Summary: You'll oversee the assessment and evaluation of members' behavioral health needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitating interaction with resources appropriate for the care and wellbeing of members.
Responsibilities:
- Make decisions related to resources, approach, and tactical operations for projects and initiatives involving your departmental area.
- Work cross-departmentally and conduct briefings and area meetings; maintain frequent contact with other managers across the department.
- Contribute to decisions about process and methodology for Intensive Case Management and Behavioral Health and be responsible for deployment of program.
- Identify and resolve barriers that hinder effective care.
- Understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
- Lead a hybrid/remote team and be passionate about contributing to an organization focused on continuously improving consumer experiences.
Requirements:
- Unrestricted Registered Nurse (RN) license in the state of South Carolina.
- Bachelor’s degree in Nursing (BSN) or a Licensed Master Level Clinician in the field of psychology or social work (LCSW, LMSW, LMSW-ACP, CSW, LPC, LMFT).
- 5+ years of Behavioral Health professional experience.
- 2+ years of management experience.
- 2+ years Care Coordination/Case Management experience.
- Proficiency in analyzing and interpreting data trends.
- Comprehensive knowledge of all Microsoft Office applications, including Word, Excel, and PowerPoint.
- Experience working with Medicaid and/or Medicare Enrollees to coordinate services, care needs, or benefits.
Preferred Qualifications:
- Previous experience working in a managed care field.
- 5+ years of management/supervisor level experience.
- 3+ years of clinical acute care experience in a behavioral health setting.
- Certified Case Manager (CCM).
- Utilization management experience.
Benefits: Humana offers competitive benefits that support whole-person well-being, including medical, dental, and vision benefits, 401(k) retirement savings plan, time off, short-term and long-term disability, life insurance, and more.
Workstyle: This is a remote position with occasional travel to Humana's offices for training or meetings.
Schedule: Monday - Friday from 8-5pm.
Pay Range: $78,400 - $107,800 per year.