Care Management Behavioral Health Professional
Humana- Full Time
- Junior (1 to 2 years)
Devoted Health
Candidates must hold a Master’s degree in Social Work with an active clinical license in any US state, such as LCSW, LMSW, or comparable state clinical license, and possess a minimum of 5 years of experience in the behavioral health or care management fields. They should be competent in performing comprehensive psychosocial assessments via video and phone, and able to independently manage a fully remote work schedule from Monday to Friday, 8:30 am to 5:00 pm local time. Bilingual skills in English and Spanish, Creole, or Vietnamese are desired, though not required. Experience in geriatric behavioral health or the health insurance industry, particularly with Medicare Advantage, is also preferred.
As a Transitions of Care (TOC) Behavioral Health Social Worker, the individual will perform comprehensive psychosocial assessments via phone/video with members and caregivers, conduct clinical social work interventions to maximize program effectiveness, collaborate with interdisciplinary teams, identify and escalate complex members to the BH Medical Director for consultation, and document all clinical interactions in the electronic health record. They will also actively participate in team huddles, panel reviews, and program development activities.
Medicare Advantage plans with personalized support
Devoted Health provides Medicare Advantage plans aimed at simplifying and making healthcare more affordable for seniors aged 65 and older. Their plans include services like provider and pharmacy searches, prescription drug coverage, and preventive care rewards. Members pay premiums for these plans, and the company may also receive government payments for managing Medicare benefits. What sets Devoted Health apart from competitors is their high level of customer service, featuring Devoted Health Guides who assist members in navigating their healthcare options and addressing common issues with traditional insurance. Additionally, they promote preventive care through the Devoted Dollars program, which rewards members for engaging in health activities. The goal of Devoted Health is to create a more compassionate and accessible healthcare experience for its members.