Become a part of our caring community and help us put health first
 

The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

The Care Manager, Telephonic Behavioral Health 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations. May create member care plans. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

Use your skills to make an impact
 

Scheduled Hours

• The working hours for this position are Monday-Friday from 9:30 am – 6:00 pm EST.
• The first 2 weeks of training will be from 8:30 AM to 5:00 PM EST.
• No time off is permitted during the first month of training. The first 90 days following training are critical in building your foundation; therefore, planned or unplanned time will not be permitted.

Key Responsibilities

• Serve as a Licensed, Master’s-level Social Worker within the Special Needs Plan (SNP) program, functioning as a Support Social Services associate and interdisciplinary care team member.
• Conduct telephonic outreach to members with social determinants of health (SDOH) needs to assess, support, and coordinate care using plan benefits and community resources.
• Utilize structured assessments and critical thinking to determine appropriate interventions, including care coordination, health education, resource connection, and advocacy.
• Collaborate with interdisciplinary team members (e.g., nurse care managers, dietitians, behavioral health, pharmacists), providers, and community partners to address member needs.
• Handle both outbound and inbound member interactions in a fast-paced, telephonic, work-from-home environment; perform follow-up as needed to ensure all needs are addressed.
• Assess members for additional support needs and initiate referrals to appropriate disciplines based on individualized circumstances.
• Develop, update, and maintain member care plans as needed to support ongoing care coordination.
• Document all interactions and care activities accurately in the member record to ensure CMS compliance and reflect engagement with members and care teams.

Required Qualifications

• Master’s degree in social work from an accredited university
• Current, unincumbered, social work license (LMSW, LCSW, or LICSW).
• Must have passed ASWB Exam (Master, Advance Generalist, or Clinical level).
• Minimum 3 years of experience working as a social worker in a medical healthcare setting.
• Proficient in Microsoft applications including Word, Outlook, Excel
• Capacity to manage multiple or competing priorities including use of multiple computer applications simultaneously.
• Must be willing to obtain/maintain social work licensure in multiple states, based on business need.

Preferred Qualifications

• Experience working with geriatric, vulnerable, and/or low-income populations
• Licensure in AL, AR, IN, LA, MO, MS, NC, OK, SC, or WA
• Bilingual English/Spanish or English/Creole
• Experience working with Medicare and Medicaid

Work-At-Home Requirements:
 

• You must have a separate room with a locked door that can be used as a home office to ensure continuous privacy while you work.

• High-speed DSL or cable modem for a home office (minimum: 25 Mbps download / 10 Mbps upload).

• Satellite and wireless internet services are NOT permitted.

• Dedicated workspace to maintain confidentiality of PHI/HIPAA information.

• Associates or contractors working from California will receive internet expense reimbursement.

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.

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.