The Behavioral Health Care Coach employs a variety of strategies, approaches, and techniques to manage a member's health issues.
Identifies and resolves barriers that hinder effective care.
Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning.
Understands own work area professional concepts/standards, regulations, strategies, and operating standards.
Makes decisions regarding own work approach/priorities and follows direction.
Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.
The Behavioral Health Care Coach assesses and evaluates member's needs and requirements to establish a member specific care plan and coordinates services.
Ensures members are receiving services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs.
Plan and implement interventions to meet care needs.
Coordinates services, monitors, and evaluates the case management plan against the member's personal goals.
Guides members/families towards resources appropriate for their care. Services are driven by facilitating interactions with other payer sources, providers, interdisciplinary teams and others involved in the member’s care as appropriate and required by our comprehensive contract.
Ability to visit Medicaid members as needed in their homes, Assisted Living Facilities, and/or Long-Term Care Facilities and other care settings
Required Qualifications
The Behavioral Health Care Coach must meet one (1) of the following requirements:
Master’s degree in social work, nursing, rehabilitation, psychology or related health and human services area with experience working with members with behavioral health conditions including serious mental illness and/or substance use disorder
Bachelor’s degree from an accredited university or college in nursing, psychology, social work, early childhood education, child development or a related field with experience working with members with behavioral health and/or substance use disorder
The Behavioral Health Care Coach must meet all the following requirements:
1 year experience in health care and/or case management.
1 year experience with Medicare & Medicaid recipients and/or long- term care and/or Home and Community based services and/or working with managed care organizations.
Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.
Exceptional communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders.
Proven ability of critical thinking, organization, written and verbal communication and problem-solving skills.
Ability to manage multiple or competing priorities in a fast-paced environment.
Ability to use a variety of electronic information applications/software programs including electronic medical records
Additional Information:
Workstyle: Hybrid - Remote work at Home and the position may also require member facing visits in the field
Location: Requires residence in South Carolina.
Work Schedule: Monday - Friday; 8am - 5pm Eastern Time.
Travel: 25% Possible field travel and onsite training as needed
Tuberculosis (TB) Screening:
This role is considered patient facing and is a part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB
Driver’s License, Automobile Insurance Policy:
Possession of a valid driver's license and access to a reliable automobile
This role is part of Humana’s Driver safety program and therefore requires an individual to have a valid state driver’s license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits.
Work at Home Guidance
To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
Satellite, cellular and microwave connection can be used only if approved by leadership
Associates 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 associates 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
Interview Process:
As part of our hiring process, we will be using an exciting interviewing technology provided by Hire Vue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.
SSN Alert Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.
Humana offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include:
Medical Benefits
Dental Benefits
Vision Benefits
Health and Childcare Savings Accounts
Flex Spending Accounts
Life Insurance
401K / Roth
Education Reimbursement
23 days Paid Time off accrual, 7 paid holidays, two personal holidays, one day of volunteer time off, parental leave, caregiving leave, and weekly well-being time, and more!
Scheduled Weekly Hours
40Pay 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.
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.
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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
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