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The Telephonic Behavioral Health Care Manager Intern will utilize Humanas 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 members 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 (Moms 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).
Required Qualifications
Must meet one of the following:
Bachelors degree in social work or behavioral health-related field
Active licensed Registered Nurse RN in the state of Florida without disciplinary
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
Masters 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 to address members care and tx goals.
1 or more years working with members receiving ABA services.
Additional Information
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.
Remote Work at Home Guidance: To ensure Home or Hybrid Home/Office employees ability to work effectively the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
HireVue As part of our hiring process for this opportunity we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
SSN Alert Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number if it is not already on file. When required an email will be sent from with instructions on how to add the information into your official application on Humanas secure website.
Ethics Section 1121 of the Louisiana Code of Governmental Ethics states that current or former agency heads or elected officials board or commission members or public employees of the Louisiana Health Department (LDH) who work directly with LDHs Medicaid Division cannot be considered for this opportunity. A separation of two (2) or more years from LDH is required for consideration. For more information please visit: Louisiana Board of Ethics ()
Travel: While this is a remote position occasional travel to Humanas offices for training or meetings may be required.Scheduled Weekly Hours
1
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race color religion sex sexual orientation gender identity national origin age marital status genetic information disability or protected veteran status. It is also the policy of Humana to take affirmative action in compliance with Section 503 of the Rehabilitation Act and VEVRAA to employ and to advance in employment individuals with disability or protected veteran status and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions including but not limited to recruitment hiring upgrading promotion transfer demotion layoff recall termination rates of pay or other forms of compensation and selection for training including apprenticeship at all levels of employment.
Required Experience:
Manager
Part-Time