Care Management Behavioral Health Professional

Position Overview

• Location Type: Home (Remote with occasional office visits)
• Job Type: Full time
• Salary: Not specified

Humana Healthy Horizons in Florida is seeking a Care Management Behavioral Health Professional to join their caring community. This role focuses on providing behavioral health services to patients dealing with issues such as addiction, abuse, or mental illness, particularly those engaged in Applied Behavioral Analysis (ABA) services within the case management program.

Responsibilities

• Outreach to members/guardians to engage them in the Care Management Program.
• Screen members for social determinants of health (SDOH), medical, and other identified needs to close gaps in care.
• Provide members with community resources.
• Attend case conferences with treatment providers to address clinical progress.
• Work with members/families to ensure all gaps related to ABA and member needs are closed.
• Screen and assist with other needs such as Speech/OT/PT, Psychological, and Neuropsychological testing.
• Employ a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues.
• Identify and resolve barriers that hinder effective care.
• Ensure patient progress towards desired outcomes through continuous monitoring via assessments and/or evaluations.
• May create member care plans.
• Understand department, segment, and organizational strategy and operating objectives.
• Make decisions regarding own work methods, occasionally in ambiguous situations, with minimal direction and receiving guidance where needed.
• Follow established guidelines/procedures.

Requirements

• Bachelor’s degree in nursing, social work, or a behavioral health-related field OR 3+ years of experience working with individuals receiving ABA services.
• Registered Behavior Technician with 2+ years’ experience.
• AHCA Level II Background Check is required.

Preferred Qualifications

• Experience working in managed care.
• BCBA (Board Certified Behavioral Analyst).
• Care Management/Care Coordination experience.
• RN or LPN with experience working with children with autism spectrum disorder.
• Master’s - LCSW, LMHC with experience working with children with autism spectrum disorder.

Additional Information

• Work Location: Florida (preferred to reside in Florida)
• Typical Work Days/Hours: Monday – Friday, 8:30 am – 5:00 pm EST.
• Workstyle: Home (Remote but will use Humana office space on an as-needed basis for collaboration and other face-to-face needs).
• Internet Requirements: Minimum download speed of 25 Mbps and upload speed of 10 Mbps recommended (wireless, wired cable, or DSL connection suggested; satellite, cellular, and microwave connections may be used if approved by leadership).
• California, Illinois, Montana, or South Dakota Residents: Will be provided a bi-weekly payment for internet expenses.
• Equipment: Humana will provide appropriate telephone equipment.
• Work Environment: Must work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
• Interview Technology: HireVue will be used as part of the hiring process.