Social Services Care Manager, Behavioral Health

San Antonio, Texas, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, InsuranceIndustries

Requirements

Candidates must possess a Master's degree in social work from an accredited university and hold a current, unencumbered social work license (LMSW, LCSW, LICSW). A minimum of 3 years of experience as a social worker in a healthcare setting is required, along with proficiency in Microsoft applications (Word, Outlook, Excel) and the ability to manage multiple priorities and computer applications simultaneously. Preferred qualifications include experience in care management with the geriatric population, licensure in specific states (GA, IL, MI, KY, OH, NC), and bilingual skills in English/Spanish or English/Creole. Additionally, candidates must have a dedicated, interruption-free workspace with a minimum internet download speed of 25 Mbps and upload speed of 10 Mbps, and be willing to obtain/maintain social work licensure in multiple states.

Responsibilities

The Social Services Care Manager will assess and evaluate members' needs and requirements to promote optimal wellness by guiding them and their caregivers towards appropriate resources. This role involves facilitating interactions with community resources to connect members and caregivers and close gaps in care. Responsibilities include completing required assessments, determining appropriate interventions such as care coordination, education, linkage to community resources, and advocacy, and documenting outreach attempts, contacts with members, resources, providers, and the interdisciplinary care team in the member's record.

Skills

Social Work

Behavioral Health

Care Management

Telephonic Communication

Assessment

Resource Linkage

Advocacy

Documentation

Microsoft Word

Microsoft Outlook

Microsoft Excel

Multi-tasking

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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