3634 Management jobs in Miami

Telephonic Behavior Health Care Manager

Dania Beach, Florida Humana

Posted today

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Job Description

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 that are eligible to participate in the DoD SkillBridge Internship, or military spouses that are 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 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 wellbeing 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.

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

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 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.

  • Workstyle: Home. Home workstyle is defined as remote but will use Humana office space on an as needed basis for collaboration and other face-to-face needs.
  • Location: Must reside in Florida
  • Typical Schedule: Monday – Friday, 8:30 am – 5:00 pm CST or EST.

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:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
  • Satellite, cellular and microwave connection can be used only if approved by leadership.
  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
  • Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

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 Humana’s 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 LDH’s 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 (la.gov)

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

1
About us
 
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.


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.

View Now

Telephonic Behavior Health Care Manager

33119 Miami Beach, Florida Humana

Posted today

Job Viewed

Tap Again To Close

Job Description

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 that are eligible to participate in the DoD SkillBridge Internship, or military spouses that are 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 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 wellbeing 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.

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

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 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.

  • Workstyle: Home. Home workstyle is defined as remote but will use Humana office space on an as needed basis for collaboration and other face-to-face needs.
  • Location: Must reside in Florida
  • Typical Schedule: Monday – Friday, 8:30 am – 5:00 pm CST or EST.

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:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
  • Satellite, cellular and microwave connection can be used only if approved by leadership.
  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
  • Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

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 Humana’s 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 LDH’s 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 (la.gov)

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

1
About us
 
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.


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.

View Now

Telephonic Behavior Health Care Manager

33160 North Miami, Florida Humana

Posted today

Job Viewed

Tap Again To Close

Job Description

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 that are eligible to participate in the DoD SkillBridge Internship, or military spouses that are 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 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 wellbeing 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.

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

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 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.

  • Workstyle: Home. Home workstyle is defined as remote but will use Humana office space on an as needed basis for collaboration and other face-to-face needs.
  • Location: Must reside in Florida
  • Typical Schedule: Monday – Friday, 8:30 am – 5:00 pm CST or EST.

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:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
  • Satellite, cellular and microwave connection can be used only if approved by leadership.
  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
  • Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

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 Humana’s 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 LDH’s 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 (la.gov)

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

1
About us
 
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.


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.

View Now

Telephonic Behavior Health Care Manager

Hallandale Beach, Florida Humana

Posted today

Job Viewed

Tap Again To Close

Job Description

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 that are eligible to participate in the DoD SkillBridge Internship, or military spouses that are 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 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 wellbeing 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.

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

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 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.

  • Workstyle: Home. Home workstyle is defined as remote but will use Humana office space on an as needed basis for collaboration and other face-to-face needs.
  • Location: Must reside in Florida
  • Typical Schedule: Monday – Friday, 8:30 am – 5:00 pm CST or EST.

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:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
  • Satellite, cellular and microwave connection can be used only if approved by leadership.
  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
  • Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

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 Humana’s 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 LDH’s 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 (la.gov)

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

1
About us
 
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.


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.

View Now

Telephonic Behavior Health Care Manager

Hallandale Beach, Florida Humana

Posted today

Job Viewed

Tap Again To Close

Job Description

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 that are eligible to participate in the DoD SkillBridge Internship, or military spouses that are 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 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 wellbeing 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.

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

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 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.

  • Workstyle: Home. Home workstyle is defined as remote but will use Humana office space on an as needed basis for collaboration and other face-to-face needs.
  • Location: Must reside in Florida
  • Typical Schedule: Monday – Friday, 8:30 am – 5:00 pm CST or EST.

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:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
  • Satellite, cellular and microwave connection can be used only if approved by leadership.
  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
  • Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

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 Humana’s 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 LDH’s 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 (la.gov)

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

1
About us
 
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.


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.

View Now

Telephonic Behavior Health Care Manager

33160 North Miami, Florida Humana

Posted today

Job Viewed

Tap Again To Close

Job Description

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 that are eligible to participate in the DoD SkillBridge Internship, or military spouses that are 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 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 wellbeing 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.

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

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 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.

  • Workstyle: Home. Home workstyle is defined as remote but will use Humana office space on an as needed basis for collaboration and other face-to-face needs.
  • Location: Must reside in Florida
  • Typical Schedule: Monday – Friday, 8:30 am – 5:00 pm CST or EST.

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:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
  • Satellite, cellular and microwave connection can be used only if approved by leadership.
  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
  • Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

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 Humana’s 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 LDH’s 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 (la.gov)

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

1
About us
 
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.


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.

View Now

Telephonic Behavior Health Care Manager

33119 Miami Beach, Florida Humana

Posted today

Job Viewed

Tap Again To Close

Job Description

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 that are eligible to participate in the DoD SkillBridge Internship, or military spouses that are 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 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 wellbeing 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.

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

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 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.

  • Workstyle: Home. Home workstyle is defined as remote but will use Humana office space on an as needed basis for collaboration and other face-to-face needs.
  • Location: Must reside in Florida
  • Typical Schedule: Monday – Friday, 8:30 am – 5:00 pm CST or EST.

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:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
  • Satellite, cellular and microwave connection can be used only if approved by leadership.
  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
  • Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

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 Humana’s 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 LDH’s 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 (la.gov)

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

1
About us
 
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.


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.

View Now
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Telephonic Behavior Health Care Manager

Dania Beach, Florida Humana

Posted today

Job Viewed

Tap Again To Close

Job Description

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 that are eligible to participate in the DoD SkillBridge Internship, or military spouses that are 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 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 wellbeing 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.

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

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 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.

  • Workstyle: Home. Home workstyle is defined as remote but will use Humana office space on an as needed basis for collaboration and other face-to-face needs.
  • Location: Must reside in Florida
  • Typical Schedule: Monday – Friday, 8:30 am – 5:00 pm CST or EST.

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:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
  • Satellite, cellular and microwave connection can be used only if approved by leadership.
  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
  • Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

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 Humana’s 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 LDH’s 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 (la.gov)

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

1
About us
 
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.


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.

View Now

Case Manager RN - FT - Days - $10k Sign On Bonus - MHM

Miramar, Florida Memorial Healthcare System

Posted today

Job Viewed

Tap Again To Close

Job Description

Location:

Miramar, Florida

We have an outstanding reputation for providing patient- and family-centered care that exceeds all expectations. Together, we have created an award-winning, nationally-recognized system where every effort is focused on delivering Deeper Caring and Smarter Healthcare throughout our communities. Career opportunities exist on diverse teams across our many facilities where you can search open positions and apply online to join #teamMHSflorida.

Learn more below.

Summary:

The RN Case Manager coordinates the care and service of patient populations from admission through discharge. The RN Case Manager, collaboratively with inter-disciplinary teams, works to build a comprehensive case management plan through effective care coordination and utilization of healthcare resources to achieve desired clinical and financial goals. Key responsibilities are to partner with the healthcare team to ensure all aspects of the patient’s needs, clinical, psychosocial, and financial are adequately addressed in the transition of the care plan and to manage the patient’s timely progression of care and safe transition to the next most appropriate level of care.

Responsibilities:

Performs ongoing chart review to identify actual or potential issues, which may include service delivery, patient outcomes, satisfaction, compliance, cost, and reimbursement.Actively coordinates progress and the patient’s care by monitoring the length of stay (LOS) of the patient’s hospitalization, leads and facilitates rounds, and proactively works to meet expected length of stay and clinical targets/indicators.Monitors patient and family satisfaction. Responds to questions and complaints from patients, family members, and payers regarding care.Performs duties in a manner that promotes quality patient care/satisfaction, while promoting safety, cost efficiency, and a commitment to the continuous quality improvement process.Addresses system-level issues impeding diagnostic or treatment progress with the healthcare team and reports unresolved opportunities for improvement through the organizational defined escalation process (chain-of-command structure). Proactively identifies and resolves barriers to timely discharge/transition and documents avoidable delays information in accordance with health system protocols.Conducts an in-depth case management assessment of a patient’s needs at the time of admission and throughout the patient’s stay. Obtains and confirms information necessary for the development of a comprehensive discharge/transition plan of care.Clinically assesses, plans, implements, coordinates, monitors, and evaluates options and services to meet an individual’s health needs to facilitate a safe and timely discharge to the next appropriate post acute level of care.Collaborates with the Social Worker to proactively identify the need for team and/or patient and family conferences to facilitate discussion of the patient’s condition, discuss prognosis and determine an agreed upon transition of care plan.Consults with Physicians and multidisciplinary teams regularly to evaluate the patient's status and appropriateness of medical care, including admission, length of stay (LOS), transfer, and discharge.

Competencies:

ACCOUNTABILITY, ANALYSIS AND DECISION MAKING, CLINICAL POLICIES AND STANDARDS, CUSTOMER SERVICE, DISCHARGE PLANNING CLINICAL EFFECTIVENESS, PATIENT AND FAMILY CENTERED CARE, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR, TEAM WORK

Education and Certification Requirements:

Accredited Program: Nursing (Required)BLS American Heart E-Card (BLS AHA ECARD) - American Heart Association (AMERICAN HEART), BLS American Heart RQI E-Card (BLS AHA-RQI ECARD) - American Heart Association (AMERICAN HEART), BLS Cert American Heart_non ecard (BLS AHA) - American Heart Association (AMERICAN HEART), BLS Certification Grace (BLS GRACE) - Employee Grace Period for Essential Credential (GRACE), BLS Cert Red Cross (BLS RC) - Red Cross (RED CROSS), Registered Nurse Compact License (RN LICENSE COMPACT) - Compact RN Multistate, Registered Nurse License (RN LICENSE) - State of Florida (FL)

Additional Job Information:

Complexity of Work: This role requires critical thinking skills, effective communication, decisive judgment, and the ability to build and foster positive relationships. The incumbent must be able to lead others and take appropriate action when required. Must be able to provide education and resources relevant to the effective progression of care, utilization of services, appropriate level of care, and safe patient transition to the patient/family and health care team.Required Work Experience: Minimum one (1) year of experience in a hospital-based Case Management practice or five (5) years in Healthcare.Other Information: Additional Education Info: Graduate of an accredited Registered/Professional Nursing Program.Additional Credential Info: Basic Life Support (BLS) Healthcare Provider required upon hire.

Working Conditions and Physical Requirements:

  •  Bending and Stooping = 0%
  •  Climbing = 0%
  •  Keyboard Entry = 80%
  •  Kneeling = 0%
  •  Lifting/Carrying Patients 35 Pounds or Greater = 40%
  •  Lifting or Carrying 0 - 25 lbs Non-Patient = 60%
  •  Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 0%
  •  Lifting or Carrying > 75 lbs Non-Patient = 0%
  •  Pushing or Pulling 0 - 25 lbs Non-Patient = 60%
  •  Pushing or Pulling 26 - 75 lbs Non-Patient = 60%
  •  Pushing or Pulling > 75 lbs Non-Patient = 0%
  •  Reaching = 60%
  •  Repetitive Movement Foot/Leg = 0%
  •  Repetitive Movement Hand/Arm = 80%
  •  Running = 0%
  •  Sitting = 80%
  •  Squatting = 0%
  •  Standing = 80%
  •  Walking = 80%
  •  Audible Speech = 80%
  •  Hearing Acuity = 80%
  •  Smelling Acuity = 0%
  •  Taste Discrimination = 0%
  •  Depth Perception = 80%
  •  Distinguish Color = 60%
  •  Seeing - Far = 80%
  •  Seeing - Near = 80%
  •  Bio hazardous Waste = 60%
  •  Biological Hazards - Respiratory = 60%
  •  Biological Hazards - Skin or Ingestion = 60%
  •  Blood and/or Bodily Fluids = 60%
  •  Communicable Diseases and/or Pathogens = 60%
  •  Asbestos = 0%
  •  Cytotoxic Chemicals = 0%
  •  Dust = 60%
  •  Gas/Vapors/Fumes = 60%
  •  Hazardous Chemicals = 60%
  •  Hazardous Medication = 40%
  •  Latex = 60%
  •  Computer Monitor = 80%
  •  Domestic Animals = 60%
  •  Extreme Heat/Cold = 0%
  •  Fire Risk = 0%
  •  Hazardous Noise = 0%
  •  Heating Devices = 0%
  •  Hypoxia = 0%
  •  Laser/High Intensity Lights = 0%
  •  Magnetic Fields = 0%
  •  Moving Mechanical Parts = 0%
  •  Needles/Sharp Objects = 60%
  •  Potential Electric Shock = 0%
  •  Potential for Physical Assault = 60%
  •  Radiation = 0%
  •  Sudden Decompression During Flights = 0%
  •  Unprotected Heights = 0%
  •  Wet or Slippery Surfaces = 60%

Shift:

Days

Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.

Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process.

Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.

Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, gender identity or expression, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law.

We are proud to offer Veteran’s Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program.

Employment is subject to post offer, pre-placement assessment, including drug testing.

If you need reasonable accommodation during the application process, please call (M-F, 8am-5pm) or email

View Now

RN Program Manager - Bariatrics - FT - Days - MHP

33084 Pembroke Pines, Florida Memorial Healthcare System

Posted today

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Job Description

Location:

Pembroke Pines, Florida

At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.

Summary:

Directs and coordinates the daily clinical operations of the service line. Responsibilities matrix across the organization in order to facilitate the multi-disciplinary team approach and collaboration. This position is responsible for the daily operations and overall supervision of all clinical services delivered to patients. Directly responsible for management of clinical services provided by clinical staff across the continuum of care; inpatient, outpatient, and all clinic care delivery sites.

Will support pre and post surgical
M-F
8a-4:30p
No weekends, holidays or call
BLS
3 years clinical RN experience
OR experience preferred
Program Manager/ Coordinator experience in Bariatrics

Responsibilities:

Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served, infant through geriatrics. Also demonstrates the ability to assess and interpret age appropriate data about the patient’s status in order to identify age-specific needs and provide appropriate age based care.Works in collaboration with leadership on program development and promotions for contracting and marketing.Collaborates with program leadership, clinic leaders, and organizational leadership to ensure knowledge, observation, and compliance with safety policies, emergency procedures, and standard and infection control practices and precautions to foster the overall environment of care.Conducts and demonstrates compliance with ethical standards and reports suspected violations of all relevant laws, regulations, MHS’s compliance policies and procedures, and codes of conduct.Responsible for the direct supervision of the Registered Nurses of the program; direct oversight for all clinical activities related to the care and of the program.Directly responsible for the collaboration/utilization of IT and the EMR program by working with team members to ensure workflow, patient safety, quality, and regulatory requirements are integrated into program operations.Actively supports and participates in the QAPI program activities; participation in all survey activities; quality program integration in workflows, survey preparation, survey activities, and post survey action plans.Solves customer problems, treats customers with dignity and respect, and acknowledges/responds quickly to customer’s needs.Collaborates and provides leadership by supporting the team through the management of nursing staff within daily clinical operations.

Competencies:

ACCOUNTABILITY, CLINICAL POLICIES AND STANDARDS, CUSTOMER SERVICE, DEVELOP AND IMPLEMENT PLAN OF CARE, KNOWLEDGE OF DISEASE PROCESS, MANAGING PEOPLE, PATIENT AND FAMILY CENTERED CARE, PATIENT SAFETY - NURSING, PROBLEM SOLVING, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR

Education and Certification Requirements:

Bachelors: Nursing (Required)Registered Nurse Compact License (RN LICENSE COMPACT) - Compact RN Multistate, Registered Nurse License (RN LICENSE) - State of Florida (FL)

Additional Job Information:

Complexity of Work: This role requires critical thinking skills, effective communication, decisive judgment, and the ability to build and foster positive relationships. The incumbent must be able to lead others and take appropriate action when required.Required Work Experience: Two (2) years’ experience within a specialized program as an RN, one (1) year of management/supervisory experience preferred.Other Information: Masters in Science of Nursing Preferred. Licensure must be valid in the State of Florida.

Working Conditions and Physical Requirements:

  •  Bending and Stooping = 80%
  •  Climbing = 40%
  •  Keyboard Entry = 80%
  •  Kneeling = 60%
  •  Lifting/Carrying Patients 35 Pounds or Greater = 80%
  •  Lifting or Carrying 0 - 25 lbs Non-Patient = 80%
  •  Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 40%
  •  Lifting or Carrying > 75 lbs Non-Patient = 0%
  •  Pushing or Pulling 0 - 25 lbs Non-Patient = 80%
  •  Pushing or Pulling 26 - 75 lbs Non-Patient = 80%
  •  Pushing or Pulling > 75 lbs Non-Patient = 80%
  •  Reaching = 80%
  •  Repetitive Movement Foot/Leg = 40%
  •  Repetitive Movement Hand/Arm = 80%
  •  Running = 40%
  •  Sitting = 60%
  •  Squatting = 80%
  •  Standing = 80%
  •  Walking = 80%
  •  Audible Speech = 80%
  •  Hearing Acuity = 80%
  •  Smelling Acuity = 40%
  •  Taste Discrimination = 0%
  •  Depth Perception = 80%
  •  Distinguish Color = 80%
  •  Seeing - Far = 80%
  •  Seeing - Near = 80%
  •  Bio hazardous Waste = 80%
  •  Biological Hazards - Respiratory = 80%
  •  Biological Hazards - Skin or Ingestion = 80%
  •  Blood and/or Bodily Fluids = 80%
  •  Communicable Diseases and/or Pathogens = 80%
  •  Asbestos = 0%
  •  Cytotoxic Chemicals = 60%
  •  Dust = 60%
  •  Gas/Vapors/Fumes = 80%
  •  Hazardous Chemicals = 80%
  •  Hazardous Medication = 80%
  •  Latex = 0%
  •  Computer Monitor = 80%
  •  Domestic Animals = 40%
  •  Extreme Heat/Cold = 0%
  •  Fire Risk = 40%
  •  Hazardous Noise = 0%
  •  Heating Devices = 40%
  •  Hypoxia = 0%
  •  Laser/High Intensity Lights = 0%
  •  Magnetic Fields = 40%
  •  Moving Mechanical Parts = 40%
  •  Needles/Sharp Objects = 80%
  •  Potential Electric Shock = 40%
  •  Potential for Physical Assault = 40%
  •  Radiation = 0%
  •  Sudden Decompression During Flights = 0%
  •  Unprotected Heights = 0%
  •  Wet or Slippery Surfaces = 60%

Shift:

Primarily for office workers - not eligible for shift differential

Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.

Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process.

Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.

Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, gender identity or expression, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law.

We are proud to offer Veteran’s Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program.

Employment is subject to post offer, pre-placement assessment, including drug testing.

If you need reasonable accommodation during the application process, please call (M-F, 8am-5pm) or email

View Now
 

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