Humana Cares Manager-Social Services - Nationwide

Company Name:
## Description
Role: Humana Cares Manager-Social Services
Assignment: Humana Cares
Location: National - Work at Home
Humana's dream is to help our members and our own associates achieve lifelong well-being. Use your clinical experience to work with patients and providers in a nontraditional environment where your knowledge will make a difference. Our associates know their work is vitally important; we strive to ensure we provide perfect service with one-on-one member interactions as a coach, personal nurse, or clinical advisor. Humana's Perfect Service means getting the basics done right, delivering value and quality, providing guidance on needs, and being engaged with our members. We want to help our members make the right choices to live life fully. We begin that process by connecting our members with an associate who cares.
Assignment Capsule
The Humana Cares Manager-Social Services (HCM-SS) will telephonically assess Medicare, Commercial or Group Account members in 7 domains of functioning. Evaluate member needs and requirements to achieve and/or maintain optimal wellness state. Guide members and their families towards and facilitate interaction with resources appropriate for the care and wellbeing of members. Work in collaboration with a multi-disciplinary team, employing a variety of strategies, approaches and techniques to manage member physical, environmental and psycho-social health issues.
Other responsibilities include:
Proactive telephonic outreach to eligible Humana members and engage participation in Humana Cares Complex Care Management program.
Actively participate in all enrollment activities.
Complete physical, psychological, emotional and environmental assessments, for the purpose of providing appropriate, timely interventions to ensure provision of optimal care.
Coordinate community care and services as deemed appropriate.
Work collaboratively with other members of the Humana Cares Interdisciplinary team-to includes Humana Cares Managers, Field Care Managers, and Community Health Educators.
Understand clinical program design, implementation, and management, monitoring and reporting.
Comply with performance and reporting standards as defined by Humana Corporation.
Additional responsibilities as deemed appropriate by Humana Cares leadership.
Key Competencies
_Builds Trust:_ Consistently models and inspires high levels of integrity, lives up to commitments, and takes responsibility for the impact of one''s actions.
_Accountability_ : Meets established expectations and takes responsibility for achieving results; encourages others to do the same.
_Customer Focus_ : Connects meaningfully with customers to build emotional engagement and customer advocacy. Simplifies complexity and integrates internal efforts to deliver an optimal customer experience.
_Executes for Results_ : Effectively leverages resources to create exceptional
## Qualifications
Role Essentials
Bachelor's degree in Social Work (BSW) or related degree.
3 years of care/case management experience.
Knowledge of community health, community resources, and social service agencies.
Exceptional communication and interpersonal skills.
Ability to interact effectively with multi-disciplinary team members.
Excellent keyboard and web navigation skills.
Intermediate to Advanced computer skills and experience with Microsoft Word and Excel.
Ability to use a variety of electronic information processing tools.
Must have a separate room with a locked door that can be used as a home office to ensure you and your patients have absolute and continuous privacy while you work.
Must have accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance form Humana systems is 5M X 1M.
Ability to work a full-time (40 hours minimum) flexible work schedule.
Associates working in the state of Arizona must comply with the Tobacco Free Hiring Policy (see details below under Additional Information) and upon offer will be subjected to nicotine testing as part of a 10-panel drug test
Role Desirables
Master's Degree in Social Work (MSW).
Experience with behavior change, health promotion, coaching and wellness.
Previous managed care experience.
Previous work with vulnerable adults or the geriatric population.
Knowledge of scope and activities of public and private health agencies.
Previous telephonic case management experience working in the medical/insurance field.
Basic knowledge of complex care management and care management principles.
Experience with motivational interviewing.
Bilingual (English/Spanish); speaking, reading, writing, interpreting and explaining documents in Spanish.
Reporting Relationships
You will be in the Humana Cares area under the direction of a Humana Cares Coach.
Additional Information
At Humana, we know your well-being is important to you, and it's important to us too. That's why we're committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. If you share our passion for helping people, we likely have the right place for you at Humana.
After applying we encourage you to join our Talent Network as well, so you can stay informed and up to date on what's happening around our organization in the changing world of healthcare.
_The following policy applies ONLY to associates working in the state of Arizona:_
Humana is committed to providing a safe and healthy work environment and to promoting the health and well-being of its associates. Effective July 1, 2011, Humana has adopted a tobacco-free hiring policy that will promote a healthier workplace and will not hire users of tobacco and nicotine products. If you have any questions, please consult with your recruiter.
Schedule: Full-time
Primary Location: US
Other Locations: US-OH-Cincinnati, US-FL-Tampa, US-AL-Birmingham, US-Michigan-Troy, US-GA-Atlanta, US-Delaware-Dover, US-Illinois-Chicago, US-AR-Bentonville, US-Alaska-Anchorage
Role: Clinical Innovations and Health Practitioners
Req ID: 125082
Work Environment Type: Virtual/Work At Home

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