Care Manager – Telephonic Behavioral Health

Humana

. Assess and evaluate members' needs in a telephonic environment .

Posted 11/4/2026full-timeRemote • South Carolina • United StatesJunior💰 $59,300 - $80,900 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care management, including the assessment and evaluation of members' needs, development of care plans, and support for the Transition of Care (TOC) program. Proficient in collaborating with healthcare providers and community resources to enhance member wellbeing and ensure continuity of care.

Highest-signal resume keywords

Active South Carolina License (LPC, LISW-CP, LISW-AP)Transition Of Care (TOC) ExperienceManaged Care ExperienceInpatient Behavioral Health ExperienceCCM Certification

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care ManagementAssessment And EvaluationCare Plan DevelopmentPatient MonitoringBarriers Resolution

Soft Skills

CollaborationCommunicationProblem-Solving

Certifications & Qualifications

CCM Certification

Industry Keywords

Behavioral HealthMedicaid PopulationCommunity HealthSocial Service AgenciesHEDIS

About the role

Key responsibilities & impact

Assess and evaluate members' needs in a telephonic environment
Guide members and families toward resources appropriate for their care and wellbeing
Manage members' physical, environmental, and psychosocial health issues
Resolve barriers that hinder care
Monitor patient care through assessments and evaluations to ensure progress toward desired outcomes
Create member care plans as needed
Support the Transition of Care (TOC) program and continuity of care between settings
Assist with HEDIS completion follow-up visits after facility discharge for TOC
Conduct field visits based on member needs and program requirements
Collaborate with staff, providers, members, and families through occasional travel and face-to-face meetings
Report to the Manager, Care Management

Requirements

What you’ll need

Must live in the state of South Carolina
Must have an active South Carolina license as an LPC, LISW-CP, or LISW-AP
1 or more years of related work experience
Bachelor's or master's degree in a behavioral-health field preferred
1 year of managed care experience preferred
Transition of care (TOC) experience for Physical Health and/or Behavioral Health preferred
1 year of Inpatient Behavioral Health or Case Management experience in a hospital setting preferred
CCM certification preferred
Experience working with the Medicaid population preferred
Knowledge of community health and social service agencies and additional community resources preferred
Minimum download speed of 25 Mbps and upload speed of 10 Mbps
Ability to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information

Benefits

Comp & perks

Bonus incentive plan based on company and/or individual performance
Medical, dental and vision benefits
401(k) retirement savings plan
Paid time off
Company and personal holidays
Paid parental and caregiver leave
Short-term and long-term disability
Life insurance
Occasional travel to Humana offices for training or meetings