Telephonic Behavior Health Care Manager

Florida, United States

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Not SpecifiedCompensation

InternshipExperience Level

Part TimeJob Type

UnknownVisa

Healthcare, InsuranceIndustries

Requirements

Candidates must be a transitioning service member eligible for SkillBridge or a military spouse eligible for the Military Spouse Fellowship. A Bachelor's degree in social work or a behavioral health-related field, or an active RN license in Florida without disciplinary action is required. A minimum of one year of experience in social work or a behavioral health-related field, one year of experience with the pediatric population, and one year of case management experience are necessary. An ACHA Level II Background Check is also required. Preferred qualifications include a Master's degree in a behavioral-health field, licensure in SW or BH, and CCM certification.

Responsibilities

The Telephonic Behavioral Health Care Manager Intern will assess and evaluate members' needs and requirements to optimize wellness, guiding them towards appropriate resources. Responsibilities include performing care management for pediatric members using ABA services, monitoring utilization, conducting outreach, and participating in interagency planning meetings. The intern will also refer members to Humana Valued Added Benefits and collaborate with external parties such as ABA providers, BH vendors, schools, and various state agencies.

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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