Care Manager – Telephonic Behavioral Health

This is a fully remote position, open to applicants in South Carolina.

📋 Description

• Evaluate and assess the needs of members in a telephonic setting.

• Direct members and their families to suitable resources for their care and wellness.

• Address members' physical, environmental, and psychosocial health concerns.

• Overcome obstacles that impede care delivery.

• Track patient care through assessments and evaluations to guarantee progress towards intended outcomes.

• Develop member care plans as necessary.

• Facilitate the Transition of Care (TOC) program and ensure continuity of care across different settings.

• Assist with HEDIS completion follow-up visits after facility discharge for TOC.

• Perform field visits based on member requirements and program specifications.

• Collaborate with staff, providers, members, and families through occasional travel and in-person meetings.

• Report directly to the Manager of Care Management.

⛳️ Requirements

• Must reside in the state of South Carolina.

• Must possess an active South Carolina license as an LPC, LISW-CP, or LISW-AP.

• A minimum of one year of relevant work experience is required.

• A bachelor's or master's degree in a behavioral health field is preferred.

• At least one year of managed care experience is preferred.

• Experience with Transition of Care (TOC) in Physical Health and/or Behavioral Health is preferred.

• One year of Inpatient Behavioral Health or Case Management experience in a hospital setting is preferred.

• CCM certification is preferred.

• Experience with the Medicaid population is preferred.

• Familiarity with community health and social service agencies, along with additional community resources, is preferred.

• A minimum download speed of 25 Mbps and upload speed of 10 Mbps is required.

• Capability to work from a dedicated space without interruptions to safeguard member PHI/HIPAA information.

🏝️ Benefits

• Bonus incentive plan based on company and/or individual performance.

• Medical, dental, and vision benefits.

• 401(k) retirement savings plan.

• Paid time off.

• Company and personal holidays.

• Paid parental and caregiver leave.

• Short-term and long-term disability insurance.

• Life insurance.

• Occasional travel to Humana offices for training or meetings.