Transitions of Care Behavioral Health Social Work Case Manager
Devoted Health- Full Time
- Junior (1 to 2 years)
Candidates must possess a Bachelor’s degree in social work or a behavioral health-related field, with a minimum of 3-5 years of experience in social work or a related behavioral health setting, including at least 1 year of experience working with the pediatric population (under 21). A minimum of 1 year of case management experience is required, and an ACHA Level II Background Check is necessary. Preferred qualifications include a Master’s degree in a behavioral-health field and licensure as an LMHC, LMFT, or LCSW.
The Telephonic Behavioral Health Care Manager will assess and evaluate members’ needs and requirements to achieve optimal wellness, guide members and families towards appropriate resources, and facilitate interaction with those resources. They will monitor utilization, conduct outreach based on acuity, participate in interagency planning meetings, refer to Humana’s Value Added Benefits, and collaborate with various external parties such as ABA providers, BH vendors, schools, and government agencies to coordinate care and address gaps in service. The role also involves managing the care of pediatric members receiving ABA services and addressing complaints and grievances related to member care.”} id=
Health insurance provider for seniors and military
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.