Hybrid Behavioral Health Case Manager

at The Hartford

• Job title: Behavioral Health Case Manager
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: $74,800 - $112,200 per year
• Degree requirement: Postgraduate Degree
• Location requirements: Hybrid, Hartford, United States

About the role

• Behavioral Health Case Manager ensuring quality medical treatment and managing complex disability claims. Collaborating with healthcare providers and internal teams to achieve optimal outcomes.

Responsibilities

• Monitors the medical treatment to ensure quality, effective, and cost-efficient care.
• Conducts comprehensive evaluations of disability claimants' functionality via functional assessments.
• Independently reviews and interprets clinical information and utilizes established clinical guidelines and protocols.
• Drives crisis support initiative for the disability organization by assessing crisis situations.
• Advises on highly complex claims at multidisciplinary clinical review roundtables.
• Determines when claims contain quality of care issues and escalates through established channels.
• Independently conferences with treating providers and/or other higher level facilities.
• Leverages resources such as vocational rehabilitation, risk management unit, physician reviews, etc.
• Manages risk and resources on highly complex behavioral health claims.
• Identifies appropriate return to work options and/or barriers.

Requirements

• 3-5 years of direct clinical practice experience post master’s degree, e.g., hospital setting or alternative care setting such as ambulatory care or outpatient clinic/facility
• Case management and discharge planning experience preferred
• Managed care/utilization review experience preferred
• Crisis intervention skills preferred
• Licensed independent Behavioral Health clinician in state of service with unrestricted license.
• Minimum of a Master’s degree in Behavioral/Mental Health or related field.
• Registered nurse with active licensure; with behavioral health/mental health experience.

Benefits

• Flexible work arrangements
• Bonuses
• Wellness programs