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Job Information

Humana Post-Discharge Follow-Up Health Professional 2 in Davenport, Iowa

Description

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.

Responsibilities

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

Required Qualifications

  • 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.

Desired Qualifications

  • 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

Additional Information

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

40

About Us

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.

Equal Opportunity Employer

It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster.

If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact mailboxtasrecruit@humana.com for assistance.

Humana Safety and Security

Humana will never ask, nor require a candidate provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact mailboxtasrecruit@humana.com to validate the request.

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