Humana

Telephonic Behavior Health Care Manager

Florida, United States

Not SpecifiedCompensation
InternshipExperience Level
Part TimeJob Type
UnknownVisa
Healthcare, InsuranceIndustries

Telephonic Behavioral Health Care Manager Internship

Employment Type: Part time Salary: Not Specified Location Type: Not Specified

Position Overview

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 eligible to participate in the DoD SkillBridge Internship, or military spouses 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 an 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 well-being 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.

Responsibilities

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 action.

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.

Application Instructions

Interested candidates must confirm eligibility to participate in the DoD SkillBridge Internship and/or the Military Spouse Fellowship.

Company Information

Humana

Skills

Care Management
Behavioral Health
Applied Behavioral Analysis (ABA)
Medicaid
Pediatric Care
Telephonic Communication

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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