Humana · 5 hours ago
Care Manager, Telephonic Behavioral Health
United States
Full-time
Remote
Mid Level
$59K/yr - $81K/yr
3+ years expHumana is committed to putting health first and is seeking a Telephonic Care Manager to join their Military Case Management team. The role involves providing comprehensive Behavioral Health Case Management, assessing and coordinating care for TRICARE beneficiaries to enhance their quality of life and achieve desired clinical outcomes.
Health CareHealth InsuranceInsuranceVenture Capital
No H1B
Security Clearance RequiredU.S. Citizen Only
Responsibilities
Assess, plan, coordinate, implement, monitor, and evaluate medical / behavioral health services required to meet the complex health needs of TRICARE beneficiaries by developing a personalized plan of care from assessment findings in coordination with the beneficiary’s physician and care team
Coordinate, review, and approve medically necessary, appropriate care within the guidelines of the TRICARE program to ensure the health needs of the beneficiary are met
Provide telephonic care guidance and support to beneficiaries and their family/caregiver to ensure education, care coordination and support measures are in place; according to the established plan of care
Identify gaps in care, eligibility for assistance and/or need for care management program or other referral services in collaboration with Humana Government Business
Utilize Motivational Interviewing and solution-oriented approaches in communication delivery
Identify Social Determinants of Health needs and/or community resources to provide services
Maintain beneficiary’s privacy, confidentiality and safety, advocacy, adherence to ethical, legal, and accreditation/regulatory standards during this process
Ensure adherence to policies and performance standards in accordance with the URAC, TRICARE Operations Manual (TOM), TRICARE Provider Manual (TPM) or any other Defense Health Agency (DHA) directives
Qualification
Required
In your state of residency, you must have a current, valid, and unrestricted license as a Mental Health (MH)/Behavioral Health (BH) Professional in at least ONE of the following: Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Mental Health Counselor (LMHC), Licensed Masters Social Worker (LMSW) AND/OR Clinical Psychologist (Ph.D.)
3 or more years of clinical, which may include managed care experience
Ability to obtain a Certified Care Manager (CCM) within the first year of hire
Experience in managing mental health crisis intervention
Proficiency in Microsoft Office programs specifically; Word, Excel, OneNote and Outlook
Excellent written and verbal communication skills
Excellent organizational skills
Ability to handle calls and member contacts in a polite and professional manner
Ability to handle multiple tasks simultaneously and to prioritize appropriately
Our Department of Defense Contract requires U.S. citizenship for this position
Successfully receive approval for government security clearance (Via National Background Investigation Services NBIS)
HGB is not authorized to do work in Puerto Rico per our government contract. We are not able to hire candidates that are currently living in Puerto Rico
Preferred
An active designation as a Certified Care Manager (CCM)
Experience in Acute inpatient hospital case management
Experience with Medical/Behavioral Health Case Management Programs
Direct or Indirect Military experience a plus
Experience with TRICARE policies and/or the military health care delivery system
Experience with motivational interviewing techniques
Bilingual fluent in Spanish, English
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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