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Humana Healthy Horizons in Florida is seeking a Care Management Behavioral Health Professional who will help patients dealing with issues such as addiction, abuse or mental illness by providing behavioral health services. The Care Management Behavioral Health Professional’s work assignments are often straightforward and of moderate complexity.

The Care Management Behavioral Health Professional will work with members in the case management program, engaged in ABA services (Applied Behavioral Analysis). The Care Management Behavioral Health Professional will outreach to members/guardians to engage them in the Care Management Program and will screen member for social determinants of health (SDOH), medical and other identified needs, closing gaps in care. The Care Management Professional will provide members with community resources, attend case conferences with treatment providers to address clinical progress as needed, and will work with member/family to ensure all gaps are closed related to ABA and member’s needs. The Care Management Professional will screen and assist with other needs such as but not limited to: Speech/OT/PT, Psychological, Neuropsychological testing.

+ Employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues.

+ Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations.

+ May create member care plans.

+ Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.

+ Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed.

+ Follows established guidelines/procedures.

Use your skills to make an impact

Required Qualifications:

+ Bachelor’s degree in nursing, social work, or behavioral health related field **OR** 3+ years of experience working with individuals receiving ABA (Applied Behavioral Analysis) services.

+ Registered Behavior Technician with 2+ years’ experience.

+ AHCA Level II Background Check is required.

Preferred Qualifications:

+ Experience working in managed care.

+ BCBA (Board Certified Behavioral Analyst).

+ Care Management/Care Coordination experience.

+ RN or LPN with experience working with children with autism spectrum disorder.

+ Master’s- LCSW, LMHC with experience working with children with autism spectrum disorder.

Additional Information

+ **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.

+ **Work Location:** preferred to reside in Florida

+ **Typical Work Days/Hours:** Monday – Friday, 8:30 am – 5:00 pm EST.

WAH Internet Statement

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.

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

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$48,900 - $66,200 per year

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

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.

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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.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.