Humana Post-Discharge Follow-Up Health Professional 2 in Davenport, Iowa
Humana is seeking a Utilization Management Behavioral Health Professional 2: Post-Discharge Follow-Up. This associate will utilize behavioral health knowledge and skills to work with identified members to assess their care needs, assist in planning and implementing interventions to meet those needs, assist in coordinating services, and monitoring and evaluating the case management plan against the member’s personal health care goals.
Location: work at home anywhere
Humana is seeking a Post-Discharge Follow-Up Behavioral Health Professional 2 who will work in a call center type environment: This associate will utilize behavioral health knowledge and skills to work with identified members to assess their care needs, assist in planning and implementing interventions to meet those needs, assist in coordinating services, and monitoring and evaluating the case management plan against the member’s personal health care goals.
The Post-Discharge Follow-Up Health Professional 2 uses clinical knowledge, communication skills, and independent critical thinking skills to:
Communicate with members that were recently discharged from facility based care
Recommend services for Humana Plan members utilizing care alternatives available within the community and nationally
Assist members in achieving stability and improved well-being in their community
Facilitate wrap-around planning for members who have had recent inpatient utilization
Understand clinical program design, implementation, and management, monitoring and reporting
Work collaboratively with other members of the Humana Interdisciplinary team
Comply with performance and reporting standards as defined by Humana
Complete additional responsibilities as deemed appropriate by Humana leadership
Hours of operation range from 8-5:30 CST
Master's degree in a Behavioral-Health field, such as Social Work, Psychology, or related health discipline from an accredited university, or an Associate's degree in Nursing
Applicable State licensure in field of study. Such licenses are: Licensed Masters Clinical Social Worker (LCSW), Licensed Masters Social Worker (LMSW), Licensed Professional Counselor (LPC), Psychologist (PhD), Registered Nurse (RN) or other professional license
Minimum of 3 years of post-degree clinical experience in private practice or other patient care in behavioral health
Must have accessibility to high speed DSL or cable modem for a home office. Please note Satellite internet cannot be used for this role. Internet speeds must be at a minimum of 10Mbps Download by 1Mbps Upload for Cable Broadband.
Knowledge of the utilization review process
Managed care experience
Experience with behavioral change, health promotion, coaching and wellness
Experience working with the older adult population
Knowledge of community health and social service agencies and additional community resources
Bilingual (English/Spanish); speaking, reading, writing, interpreting and explaining documents in Spanish
Humana is an organization with careers that change lives – including yours. As an innovator in the fast-paced industry of healthcare, we offer our associates careers that challenge, support and inspire them to use their passion for helping others and to lead their best lives. If you’re ready to help people achieve lifelong well-being, and be a part of an organization that is growing and poised to make an impact on the future of healthcare, Humana has the right opportunity for you.
Scheduled Weekly Hours
Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.
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