Humana

Social Services Care Manager

San Antonio, Texas, United States

Not SpecifiedCompensation
Mid-level (3 to 4 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, InsuranceIndustries

About the Role

Employment Type: Full time

Become a part of our caring community and help us put health first. The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness by guiding members/caregivers toward and facilitates interaction with resources appropriate for the care and well-being of members.

The Care Manager, Telephonic Behavioral Health 2 is a Licensed, Masters level, social worker who functions as an interdisciplinary care team member, receiving referrals to assist members with Social Determinant of Health needs. In a telephonic environment, they assess and evaluate member needs related to their physical, environmental, and psycho-social health. This includes completing required assessments and determining appropriate interventions such as care coordination, education, linkage to community resources, and advocacy. This position may create and update member care plans and complete documentation in the member’s record to accurately reflect outreach attempts/contacts with members, resources, providers, and other members of the interdisciplinary care team.

Use your skills to make an impact.

Required Qualifications

  • Master’s degree in social work from an accredited university
  • Current, unincumbered, social work license; LMSW, LCSW, LICSW
  • Must have passed Master, Advanced Generalist, or Clinical ASWB Exam
  • Minimum 3 years of experience working as a social worker in a healthcare setting
  • Proficient in Microsoft applications including Word, Outlook, Excel
  • Capacity to manage multiple or competing priorities including use of multiple computer applications simultaneously
  • Must be willing to obtain/maintain social work licensure in multiple states, based on business need

Preferred Qualifications

  • Experience working with geriatric, vulnerable, and/or low-income populations
  • Licensure in MD, MI, MS, NV, NM, OK, NY
  • Bilingual English/Spanish
  • Bilingual English/Creole

Work-At-Home Requirements

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:

  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wired cable or DSL connection is required
  • Associates who live and work from home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly stipend 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

Additional Information

Schedule

  • The first 2 weeks of training, M-F 8:30am-5pm EST
  • After training, M-F 9:30am - 6pm EST
  • There is no time off permitted for the first 90 days; any/all exceptions are at the manager's discretion

Travel

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

Scheduled Weekly Hours

  • 40

Pay Range

  • $59,300 - $80,900 per year
  • 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.
  • This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

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.

Skills

Social Work
Care Management
Behavioral Health
Telephonic Communication
Assessment
Care Coordination
Community Resources
Advocacy
Microsoft Word
Microsoft Outlook
Microsoft Excel
Geriatric Care
Vulnerable Populations
Low-Income Populations
Bilingual Spanish
Bilingual Creole

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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