Humana · 4 hours ago
Telephonic Behavior Health Care Manager
Remote Nationwide
Full-time
Remote
Mid Level
$59K/yr - $81K/yr
3+ years exp
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Responsibilities
The Care Management of Pedatric member’s (Under 21) who utilize Applied Behavioral Analysis (ABA Services).
Monitor/have awareness of utilization, conduct outreaches based on acuity to assess medical/social/BH needs and address gaps in case; participate in all scheduled Interagency planning meetings to discuss progress/treatment planning/d/c planning.
Refer to Humana Valued Added Benefits as appropriate (Mom’s meals, Modivcare, ect).
Collaborate with outside parties to include but not limited to, ABA provider, BH vendors (Carelon/ABH), school, Managing Entity, (Department Children family (DCF), Department Juvenile Justice (DJJ); Agency for Persons with Disability (APD)
Qualification
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Required
Bachelor's degree in SW or Behavioral Health related field
3 - 5 years of experience working in the field of SW or BH related field
1 or more years working with the pediatric population
1 year of managed care experience
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred
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)
CCM certification or must obtain within 1 year
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
Benefits
Medical, dental and vision benefits
401(k) retirement savings plan
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
$6.82B2024-03-11Post Ipo Debt· $2.25B
2023-11-02Post Ipo Debt· $1.32B
2023-02-27Post Ipo Debt· $1.25B
Leadership Team
Bruce D. Broussard
President and Chief Executive Officer
Jim Rechtin
President & CEO
Recent News
2024-12-18
Home Health Care News
2024-12-11
2024-12-05
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