Telephonic Behavior Health Care Manager

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

Are you a transitioning military service member or a Military Spouse looking for an internship that supports the goal to put health first? During the period of this unpaid internship, you will work with the Medicaid Clinical Services team to ensure interaction between the company and members are optimized. The Telephonic Behavioral Health Care Manager Internship provides transitioning service members that are eligible to participate in the DoD SkillBridge Internship, or military spouses that are eligible to participate in the Military Spouse Fellowship, with an opportunity to train and work with Humana's Medicaid Team for the Applied Behavioral Analysis, (ABA) contract requirements. During the internship you will assess and evaluate members' needs and requirements to achieve and/or maintain optimal wellness state in a remote telephonic environment. The Behavioral Health Care Manager guides members and/or families towards and facilitates interaction with resources appropriate for the care and wellbeing of members. If you are interested in this position, you will be required to confirm eligibility to participate in the DoD SkillBridge Internship and/or the Military Spouse Fellowship.

The DOD SkillBridge Internship Program provides an opportunity for transitioning military service members to gain civilian work experience with an employer for a period between 90 and 180 days upon approval.

The Military Spouse Fellowship Program connects military spouses with employers offering a variety of professional onsite, field, or remote based opportunities for a period up to 11 weeks.

               

The Telephonic Behavioral Health Care Manager Intern will utilize Humana’s Medicaid training and engage formerly acquired skillsets to:

• Perform care management of pediatric members (under 21) who utilize Applied Behavioral Analysis (ABA) services and employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues.

• Monitor and maintain awareness of utilization and conducts outreach based on acuity to assess medical/social/BH needs and addresses gaps in care.

• Participate in all scheduled interagency planning meetings to discuss progress, treatment planning, and discharge planning.

• Refer to Humana Valued Added Benefits as appropriate (Mom’s meals, Modivcare, etc.).

• Collaborate with outside parties to include but not limited to: ABA providers, BH vendors (Carelon/ABH), schools, managing entities, Department Children and Family (DCF), Department Juvenile Justice (DJJ), Agency for Persons with Disability (APD).

Use your skills to make an impact
 

Required Qualifications

Must meet one of the following:

• Bachelor's degree in social work or behavioral health-related field

• Active licensed Registered Nurse, RN in the state of Florida without disciplinary

Must meet all of the following:

• Transitioning Service Member eligible to participate in SkillBridge or military spouse eligible to participate in the military spouse fellowship

• Minimum one, (1) year of experience working in social work or a behavioral health-related field.

• Minimum one, (1) year of experience working with the pediatric population in a professional setting (under 21).

• Minimum one, (1) year of case management experience.

• ACHA Level II Background Check is required.

Preferred Qualifications

• Master's degree in a behavioral-health field, such as social work, psychology, or related health discipline from an accredited university.

• License in SW or BH related field (LMHC, LMFT, LCSW).

• CCM certification.

• Knowledge/experience in navigation of community health and social service agencies and additional community resources.

• Experience in dealing with complaints and grievances related to members care and/or coordination of care.

• Experience in participation in interagency meetings with community providers/members/families to address members care and tx goals.

• 1 or more years working with members receiving ABA services.

Additional Information

The DOD SkillBridge Internship Program provides an opportunity for transitioning military service members to gain civilian work experience with an employer for a period between 90 and 180 days upon approval.

The Military Spouse Fellowship Program connects military spouses with employers offering a variety of professional onsite, field, or remote based opportunities for a period up to 11 weeks.

• Workstyle: Home. Home workstyle is defined as remote but will use Humana office space on an as needed basis for collaboration and other face-to-face needs.
• Location: Must reside in Florida
• Typical Schedule: Monday – Friday, 8:30 am – 5:00 pm CST or EST.

Remote 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 recommended; 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.

HireVue As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

SSN Alert Humana values personal identity protection. Please be aware that applicants selected for leader review 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.

Ethics Section 1121 of the Louisiana Code of Governmental Ethics states that current or former agency heads or elected officials, board or commission members or public employees of the Louisiana Health Department (LDH) who work directly with LDH’s Medicaid Division cannot be considered for this opportunity. A separation of two (2) or more years from LDH is required for consideration. For more information please visit: Louisiana Board of Ethics (la.gov)

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

1

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.

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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.