Licensed Therapist, LICSW/LMFT/LMHC, Adult Mental Health
UMass Memorial Health
Telephonic Behavioral Health Care Manager
Humana
full-time
Posted on:
Origin: • 🇺🇸 United States • California, Illinois, Montana
Visit company websiteSalary
💰 $59,300 - $80,900 per year
Job Level
Mid-LevelSenior
About the role
- The Telephonic Care Manager will be part of the Humana Military Case Management team; providing a comprehensive, holistic approach for Behavioral Health Case Management throughout the continuum of care. They will have personal interaction with beneficiaries to address behavioral health needs and conditions identified through direct referrals, predictive analytics, or diagnosis triggers, helping them to address immediate care needs, treatment plan adherence, and develop coping skills. The Telephonic Case Manager will assess, plan, coordinate, implement, monitor, and evaluate the care needs of TRICARE beneficiaries over the phone, to maximize each beneficiary’s capacity for self-care to enhance their quality of life and achieve desired clinical outcomes. As part of the Case Management team, the case manager will serve as the primary point of contact and coordinator for the beneficiary for all activities within the clinical spectrum. This will include coordination and collaboration with Military Treatment Facilities (MTF), other Care Management programs (such as Disease Management and Utilization Management), physicians, staff, or providers to ensure there is a fully integrated care plan addressing all beneficiary needs and conditions; documenting interventions and outcomes for beneficiaries within the Case Management program. Performs all duties within the scope of his/her licensure.
Requirements
- 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 or managed care experience. 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 Qualifications An active designation as a Certified Care Manager (CCM). If no active designation as a CCM at hire date, must be eligible to obtain within the first year of hire. 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.
