Telephonic Care Manager, Behavioral Health

Required Qualifications: Must be a transitioning service member eligible to participate in SkillBridge or military spouse eligible to participate in the military spouse fellowship Must meet one (1) of the following: Unrestricted active licensed Registered Nurse (RN) in a state that participates in the enhanced, (eNLC) licensure without restrictions or disciplinary action. Master's degree clinician in the field of social work, nursing, rehabilitation, psychology or related health and human services and independent licensure in South Carolina without disciplinary action For example: LISW or LPC Must meet all of the following: Minimum Two (2) years clinical nursing experience in acute care, emergency room, ICU, skilled or rehabilitation setting. Proficient using MS Office including Word, Excel, PowerPoint, and Teams in a Windows based environment and an ability to quickly learn new systems and ability to troubleshoot and resolve basic technical difficulties in a remote environment. Ability to work independently under general instructions and with a team. Familiar with working with serious mental illness specialty population and behavioral health members, using MI and positive techniques 1 year Care Coordination Preferred Qualifications: BSN preferred Clinical acute care experience in a behavioral health setting Possess an interest in working in the managed care industry Previous Medicare/Medicaid experience a plus. Experience with case management, discharge planning and patient education for adult acute care Managed care experience Certified Case Manager (CCM) Additional Requirements / Adherence Workstyle: Remote Work at Home Preferred Location: South Carolina Alternate Locations: Humana Healthy Horizon Medicaid State Locations: Louisiana, Wisconsin, Indiana, Oklahoma, Virginia, Florida, or Kentucky, Texas, Ohio Work Schedule: Weekdays 8:00 AM to 5:00 PM Eastern Time Travel: None Work at Home Guidance To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested, Satellite, cellular and microwave connection can be used only if approved by leadership Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

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