Humana will never ask, nor require a candidate to 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 yourcareer@humana.com to validate the request

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.

Industry: Insurance
Company Size: 10,001+ employees

Humana

Savvy Admin PROD

**Become a part of our caring community**

The Care Manager, Telephonic Behavioral Health, assesses and evaluates members' needs in a telephonic environment. The goal is to achieve and maintain wellness state by guiding members/families toward and facilitating interaction with resources appropriate for the care and wellbeing of members. The Care Manager, Telephonic Behavioral Health work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

You will report to the Manager of Health Services. Additionally, you will be in a **field ** role and will require up to 25% travel visiting members or facilities within the state of South Carolina.

The Care Manager, Telephonic Behavioral Health 2 employs a variety of strategies and techniques to manage a member's physical, environmental and psycho-social health issues. Resolve barriers that hinder care. Ensure patient is progressing towards desired outcomes by monitoring patient care through assessments and evaluations. May create member care plans. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Support the Transition of Care (TOC) program, which focuses on ensuring continuity of care for members as they move between care settings (such as hospital discharge to home or outpatient care). You will be assisting with HEDIS completion follow up visits after TOC and may conduct field visits based on member needs and program requirements.

**Required Qualifications**

**Use your skills to make an impact**

- Bachelor's degree

- Must live in the state of South Carolina

- Must have an active license in South Carolina as either a Licensed Professional Counselor (LPC) OR Licensed Independent Social Worker - Clinical Practice (LISW - CP)

- 3 or more years of experience working as a licensed Social Worker

**Preferred Qualifications**

- Master's degree in a behavioral-health field, such as social work, psychology, or related health discipline from an accredited university

- 1 year of managed care experience

- Transition of care (TOC) experience

- CCM certification

- Experience working with the geriatric population

- Knowledge of community health and social service agencies and additional community resources

**Additional Information**

**Workstyle: **Remote Work at Home with Field requirements

Field - This is a field position where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes.

**Location: **South Carolina

**Work Schedule: ** Monday - Friday; 8:00 AM - 5:00 PM Eastern Time

**Travel: ** 25%

Work At Home Guidance To Ensure Home Or Hybrid Home/Office Associates' Ability To Work Effectively, The Self-provided Internet Service Of Home Or Hybrid Home/Office Associates 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

- Associates 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 associates 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

**TB**

This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

**Driving Statement**

This role is part of our company's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.

**Medicaid Mileage Reimbursement**

We provide mileage reimbursement for work-related travel. Eligible mileage includes:

- Travel from your home to your first work location of the day.

- Travel between client or assignment locations during the workday.

- Travel from your final work location back to your home.

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.

$59,300 - $80,900 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

**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**

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

**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.

Care Manager, Telephonic Behavioral Health

Part of the Upstream Rehabilitation family of clinical care, BenchMark Physical Therapy is a leading operator of outpatient physical therapy clinics in the United States. Founded in 1995 with a single center in Ooltewah, Tennessee, BenchMark Physical Therapy quickly grew to deliver physical therapy services through an expanding network of hundreds of clinics nationwide.

We built our business to provide exceptional patient care, empower our clinicians with the best possible education, and give back to our communities. Our physical therapists know that connecting with patients on a personal level helps to build trust. This trust is crucial in allowing patients and physical therapists to work together to make the best use of our advanced certifications and refined techniques. Our patient-centered approach to physical therapy leads to more positive outcomes for patients and physical therapists.

We believe in the professional development of our people and invest in advanced educational opportunities so they can better meet the needs of patients. Our ever-growing number of Certified Manual Therapists and board-certified Orthopedic Specialists lets us offer more treatment options to support a wide range of patients. We also believe in measuring our progress with patients and physical therapists to evaluate and optimize results continually.

Our success has several contributing factors:

Hiring the right therapists; those with both academic and clinical excellence
Unparalleled customer service and best-in-class patient care
Local and regional density
We strive to provide an inclusive work environment that celebrates differences and appreciates patients and practitioners alike for the incredible value they bring to our communities. In addition, we are committed to DEI and focusing on diversifying our workforce at every opportunity.

Industry: Hospitals and Health Care
Company Size: 501-1,000 employees

BenchMark Physical Therapy

**Job Description**

**Benchmark Physical Therapy, a brand partner of Upstream Rehabilitation, is looking for a Patient Care Coordinator to join our team in Charlotte, NC!**

~~Are you looking for a position in a growing organization where you can make a significant impact on the lives of others?~~

**What is a Patient Care Coordinator?**

- A Patient Care Coordinator is an entry-level office role that is responsible for maintaining pleasant and consistent daily operations of the clinic.

- Our Patient Care Coordinators have excellent customer service skills.

- Patient Care Coordinators learn new things – a lot! The Patient Care Coordinator multitasks in multiple computer programs each day.

**A day in the life of a Patient Care Coordinator:**

- Greets everyone who enters the clinic in a friendly and welcoming manner.

- Schedules new referrals received by fax or by telephone from patients, physician offices.

- Verifies insurance coverage for patients.

- Collects patient payments.

- Maintains an orderly and organized front office workspace.

- Other duties as assigned.

**Fulltime positions include:**

- Annual paid Charity Day to give back to a cause meaningful to you

- Medical, Dental, Vision, Life, Short-Term and Long-Term Disability Insurance

- 3-week Paid Time Off plus paid holidays

- 401K + company match

**Position Summary:**

The Patient Care Coordinator - I (PCC-I) supports clinic growth through excellence in execution of the practice management role and patient intake processes. This individual will work in collaboration with the Clinic Director (CD) to carry out efficient clinic procedures. The PCC-I position is responsible for supporting the mission, vision, and values of Upstream Rehabilitation.

**Responsibilities:**

- Core responsibilities

- Collect all money due at the time of service

- Convert referrals into evaluations

- Schedule patient visits

- Customer Service

- Create an inviting clinic atmosphere.

- Make all welcome calls

- Monitor and influence arrival rate through creation of a great customer experience

- Practice Management

- Manage schedule efficiently

- Manage document routing

- Manage personal overtime

- Manage non-clinical documentation

- Manage deposits

- Manage caseload, D/C candidate, progress note, and insurance reporting

- Monitor clinic inventory

- Training

- o Attend any required training with the Territory Field Trainers (TFT) for Raintree and other business process updates.

- Complete quarterly compliance training.

**Qualifications **:

- High School Diploma or equivalent

- Communication skills – must be able to relate well to Business Office and Field leadership

- Ability to multitask, organizational detail, ability to meet deadlines, work with little to no supervision

- As a member of a team, must possess efficient time management and presentation skills

**Physical Requirements:**

- This position is subject to inside environmental conditions: protections from weather conditions but not necessarily from temperature changes; exposed to noise consistent with indoor environment.

- This is a full-time position operating within normal business hours Monday through Friday, with an expectation of minimum of 40 hours per week; May be required to attend special events some evenings and weekends, or work additional hours as needed.

- This position is subject to sedentary work.

- Constantly sits, with ability to interchange with standing as needed.

- Constantly communicates with associates, must be able to hear and speak to accurately exchange information in these situations.

- Frequently operates a computer and other office equipment such as printers, phone, keyboard, mouse and copy machines using gross and fine manipulation.

- Constantly uses repetitive motions to type.

- Must be able to constantly view computer screen (near acuity) and read items on screen.

- Must have ability to comprehend information provided, use judgement to appropriately respond in various situations.

- Occasionally walks, stands, pushes or pulls 0-20 lbs., lifts 0-20 lbs. from floor to waist; carries, pushes, and pulls 0-20 lbs.

- Rarely crawls, crouches, kneels, stoops, climbs stairs or ladders, reaches above shoulder height, lifts under 10 lbs. from waist to shoulder.

This job description is not an all-inclusive list of all duties that may be required of the incumbent and is subject to change at any time with or without notice. Incumbents must be able to perform the essential functions of the position satisfactorily and that, if requested, reasonable accommodations may be made to enable associates with disabilities to perform the essential functions of their job, absent undue hardship.

Please do not contact the clinic directly.

Follow @Lifeatupstream on Instagram, and check out our LinkedIn company page to learn more about what it’s like to be part of the #upstreamfamily.

**Click Here To Learn Even More About Upstream**

~~Upstream Rehabilitation is an Equal Opportunity Employer that strives to provide an inclusive work environment where our differences are celebrated for the value they bring to our communities, our patients and our teammates. Upstream Rehabilitation does not discriminate on the basis of race, color, national origin, religion, gender (including pregnancy), sexual orientation, age, disability, veteran status, or other status protected under applicable law. ~~

Patient Care Coordinator

SOC Integrated Services, LLC is a community-based provider of mental health and therapeutic services for individuals, children, and families. We provide mental health assessments, therapeutic case management, individual and family therapy, and school-based support for students. Our team partners with families, schools, and community organizations to address behavioral health needs and support positive life outcomes.

Industry: Mental Health Care
Company Size: 11-50 employees

SOC Integrated Services, LLC

**About SOC Integrated Services **

SOC Integrated Services is a behavioral health organization committed to whole-person care for children, adolescents, adults, and families. Based in Atlanta, Georgia, we provide community-based mental health therapy and case management services that meet people where they are — in their homes, schools, and communities. Our approach is rooted in culturally responsive, trauma-informed care, and we work closely with school districts, community partners, and managed care organizations to connect clients with the support they need. We are a growing organization with a collaborative team culture and a deep commitment to the communities we serve.

Case Managers are the backbone of what we’re building at SOC Integrated Services.

We’re hiring Community Case Managers to work alongside our clinical team across Fulton, DeKalb, and Gwinnett Counties — connecting Atlanta families to the resources they actually need, while delivering Medicaid-billable community support services that make your work sustainable.

💡**WHY SOC **

• 1099 contractor — flexible schedule, you own your time

• Meaningful, community-rooted work — not a desk job

• Supported by a licensed clinical team, not working in isolation

• Competitive compensation discussed during the interview

• Serve Fulton, DeKalb, and Gwinnett Counties — right in your community

✅**WE’RE LOOKING FOR SOMEONE WHO **

• Has a Bachelor’s in Social Work, Psychology, or Human Services (Master’s preferred)

• Has 1–2+ years in community mental health, DFCS, or human services in Georgia

• Knows Atlanta’s resource landscape — DFCS, Fulton County BHDD, DeKalb Community Service Board

• Has a valid Georgia driver’s license and gets around reliably

• Speaks English and Spanish — strongly preferred and a real advantage in this market

If you’ve been doing this work and you’re ready for a team that values what you bring — this is your next move.

Mental Health Case Manager

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