Job Description

**Become a part of our caring community and help us put health first** Humana is seeking a Telephonic Behavioral Health Care Manager who will, in a telephonic environment, assess and evaluate members' needs and requirements to achieve and/or maintain optimal wellness state. The Behavioral Health Care Manager guides members and/or families towards and facilitates interaction with resources appropriate for the care and wellbeing of members. The work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Telephonic Behavioral Health Care Manager: + Is responsible for the care management of pediatric members (under 21) who utilize Applied Behavioral Analysis (ABA) services and employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. + Monitors/has awareness of utilization and conducts outreach based on acuity to assess medical/social/BH needs and addresses gaps in care. + Participates in all scheduled interagency planning meetings to discuss progress, treatment planning, and discharge planning. + Refers to Humana Valued Added Benefits as appropriate (Mom's meals, Modivcare, etc.). + Collaborates with outside parties to include but not limited to: ABA providers, BH vendors (Carelon/ABH), schools, managing entities, Department Children and Family (DCF), Department Juvenile Justice (DJJ), Agency for Persons with Disability (APD). **Use your skills to make an impact** **Required Qualifications** + Bachelor's degree in social work or behavioral health-related field + 3 - 5 years of experience working in social work or a behavioral health-related field. + 1 or more years working with the pediatric population in a professional setting (under 21). + 1 or more years of case management experience. + ACHA Level II Background Check is required. **Preferred Qualifications** + Master's degree in a behavioral-health field, such as social work, psychology, or related health discipline from an accredited university. + License in SW or BH related field (LMHC, LMFT, LCSW). + RN with experience working with ABA. + CCM certification. + Knowledge/experience in navigation of community health and social service agencies and additional community resources. + Experience in dealing with complaints and grievances related to members care and/or coordination of care. + Experience in participation in interagency meetings with community providers/members/families to address members care and tx goals. + 1 or more years working with members receiving ABA services. **Additional Information** + **Workstyle:** Home. Home workstyle is defined as remote but will use Humana office space on an as needed basis for collaboration and other face-to-face needs. + **Typical work days/hours:** Monday - Friday, 8:30 am - 5:00 pm CST or EST. **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 recommended; 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. **HireVue** 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. $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: 06-17-2025 **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. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our

Job Tags

Holiday work, Full time, Temporary work, Apprenticeship, Remote job, Work from home, Home office, Monday to Friday,

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