Manager, Care Management, Behavioral Health

Become a part of our caring community

Why Humana? At Humana, caring is everything. You look after our members and patients. We look after you. If caring means something to you too, we've got a spot for you. We design competitive and flexible benefits packages to provide our employees a sense of financial security now and in the future. Fostering a culture of inclusion is part of the fabric of who we are. We must have a workplace that reflects the people we serve and thrives in part because every person can bring their whole self to work. Our vibrant, diverse culture and environment of inclusion is one of our greatest strengths.

About Humana Healthy Horizons Humana Healthy Horizons is more than a health plan. We're human care. Humana Healthy Horizons focuses on helping people achieve their best health. Our dedicated strategies across various markets and states enable partnerships with state and local governments, community-based organizations, and national partners that commit to removing barriers to helping people achieve their best health.

Responsibilities The Manager, Care Management Behavioral Health leads teams of nurses and behavioral health professionals responsible for care management. The Manager, Behavioral Health Care Management, works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules, and goals.

Position Responsibilities:

• Oversees the assessment and evaluation of members' behavioral health needs and requirements. This is done to achieve and/or maintain an optimal wellness state. The process involves guiding members/families toward resources and facilitating interaction with them. These resources are appropriate for the care and wellbeing of members.
• Makes decisions related to resources, approach, and tactical operations for projects and initiatives involving own departmental area.
• Work cross departmentally and conducts briefings and area meetings; maintains frequent contact with other managers across the department.

Use your skills to make an impact

• Active Registered Nurse (RN) license with Bachelor of Science in Nursing (BSN)
• Or one of the following Master Level Social Worker licensures: LMFT, LCSW, LPC
• 5 or more years of Behavioral Health professional experience
• 2 or more years of management experience
• Proficiency in analyzing and interpreting data trends.
• Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
• Experience working with Medicaid and/or Medicare Enrollees to coordinate services, care needs, or benefits.

Preferred Qualifications:

• Previous experience working in a managed care field.
• 5 or more years of previous management/supervisor level experience
• Certification, Case Management