Humana · 4 hours ago
Care Manager - Behavioral Health
United States
Full-time
Remote
Mid Level
$59K/yr - $81K/yr
3+ years expHumana is a company dedicated to caring for its members and patients. The Care Manager will primarily work telephonically to assess and evaluate enrollees' needs, guiding them towards appropriate resources for their health and wellbeing while collaborating with an interdisciplinary care management team.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Performs telephonic and face to face assessments and evaluations of the member’s needs and requirements to achieve and/or maintain an optimal wellness state by guiding members/families toward the appropriate resources for the care and overall wellbeing of the member
Ensures member is progressing towards desired outcomes by continuously monitoring care through assessments and/or evaluations
Creates member care plans. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas
Employs a variety of strategies, approaches, and techniques to manage an Enrollee’s behavioral, physical, environmental, and psycho-social health needs
Ensures Enrollees are progressing toward desired outcomes by continuously monitoring their assessments and evaluations
Identifies and resolves barriers that hinder effective care and ensures through continuous monitoring of assessments and evaluations that the Enrollee is progressing toward desired outcomes
Makes decisions about their own work methods, occasionally in ambiguous situations, and requires minimal direction, receiving guidance where needed
Follows established guidelines/procedures
Collaborates with providers and community services to promote quality and cost-effective outcomes
Qualification
Required
Must Reside in Oklahoma
Active Registered Nurse (RN) license, or a Licensed Master Level Social Worker (LCSW, LPC, LMFT)
Minimum 1-year Behavioral Health clinical experience
2 or more years of experience of in-home case or care management
Experience working with Medicaid and/or Medicare Enrollees to coordinate services, care needs, or benefits
Exceptional communication and interpersonal skills with the ability to quickly build rapport
Knowledge of community health and social service agencies and additional community resources
Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
Periodic travel to Humana Oklahoma City office for meetings and training
Preferred
Case Management Certification (CCM)
Benefits
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
Company
Humana
Humana is a health insurance provider for individuals, families, and businesses.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$13.07B2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B
Leadership Team
Jim Rechtin
CEO and President
Caleb Gallifant
Chief Operating Officer, CenterWell Home Health
Recent News
2026-01-16
2026-01-16
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