Humana Care Manager-MSW- Social Services- WAH Nationwide in Aberdeen, South Dakota
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.
Master’s degree in Social Work (MSW)
Licensed in your residential state- licenses for Minnesota, New Mexico, Texas, Michigan, Alabama, Kentucky, North Dakota, New Jersey, Oklahoma, or Wyoming strongly preferred
Minimum 3 years of care/case management experience with adults
Knowledge of community health, community resources, and social service agencies
Exceptional communication and interpersonal skills
Ability to interact effectively with multi-disciplinary team members
Excellent keyboard and web navigation skills
Intermediate to advanced computer skills and experience with Microsoft Word and Excel
Ability to use a variety of electronic information processing tools
Self-starter who is able to multi-task and prioritize
Must have a separate room with a locked door that can be used as a home office to ensure you and our members have absolute and continuous privacy while you work
Must have accessibility to high speed DSL or Cable modem internet for your home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance form Humana systems is 10M X 1M
Ability to work a full-time (40 hours minimum) Monday - Friday
Experience with behavior change, health promotion, coaching and wellness
Previous managed care experience
Knowledge of Electronic Medical Records
Previous work with vulnerable adults or the geriatric population
Knowledge of scope and activities of public and private health agencies
Previous telephonic case management experience working in the medical/insurance field
Basic knowledge of complex care management and care management principles
Experience with motivational interviewing
Bilingual (English/Spanish); speaking, reading, writing, interpreting and explaining documents in Spanish
Scheduled Weekly Hours
Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.
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