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Behavioral Health Case Manager

Company

The Hartford
Address ,
Employment type FULL_TIME
Salary
Expires 2023-10-16
Posted at 8 months ago
Job Description
You are a driven and motivated problem solver ready to pursue meaningful work. You strive to make an impact every day & not only at work, but in your personal life and community too. If that sounds like you, then you've landed in the right place.
Our team is committed to driving profitability by delivering exceptional customer service and superb claim outcomes! The ideal candidate will be part of a dynamic and talented team of Behavioral Health Disability Claim professionals that are committed to conducting comprehensive evaluations of disability claimants' functionality via functional assessments. This position is part of a vast team of Behavioral Health Case Managers who are responsible for the review and evaluation of Short-Term Disability (STD) and Long-Term Disability (LTD) claims. While reviewing cases, our goal is to assess a client’s “return to work” potential while also improving their functional capabilities. Successful incumbents in this role will perform functional client assessments and interpret clinical information. They will utilize established clinical guidelines/protocols to facilitate a client’s ability to leverage their functional capabilities, work experience and educational background to allow for a safe and productive return to work environment.
Responsibilities:
  • Leverages resources such as vocational rehabilitation, risk management unit, physician reviews, home assessments, etc.
  • Independently conferences with treating providers and/or other higher-level facilities to evaluate clinical symptomology present in claimants
  • Advises on highly complex claims at multidisciplinary clinical review roundtables to ensure optimal outcomes
  • Ensures excellent documentation that clearly and concisely communicates focus of functionality vs. impairment and provides a recommendation of support or non-support of clinical findings
  • Collaborates with Ability Benefits Manager and other key players (Vocational Rehabilitation, Consultants, Medical Nurse
  • Manages Short Term Disability (STD) to Long Term Disability (LTD) transition on all behavioral health claims, coordinating with all resources necessary to ensure a seamless process
  • Manages risk and resources on highly complex behavioral health claims
  • Reviewers, etc.) for proactive movement of the claim to resolution
  • Conducts comprehensive evaluation of a disability claimant functionality
  • Determines when claims contain quality of care issues and escalates these through established channels
  • Reviews clinical integration systems and determines appropriate referral resources to achieve an optimum level of health
  • Supports the leadership team by demonstrating understanding of customer needs and expectations as well as ensuring performance objectives are met
  • Identifies appropriate return to work options and/or barriers to partner with internal resources to ensure a smooth transition back into employability and normal activities
Qualifications:
  • Solid technical acumen with Microsoft Office: Word, Excel & PowerPoint
  • Readily able to accurately document activities
  • A license to practice independently is required
  • Preference for crisis intervention skills
  • Ability to make sound judgments
  • License in Behavioral Health Clinical work which may include professional designations in Social Work, Mental Health, Marriage/Family Counseling, etc.
  • Demonstrated desire to learn about the insurance business.
  • Professional licenses in: LMHC, LCSW, LMFT,LPC or other similar designations are required
  • Ability to assess and explain complex medical condition
  • Accurate clinical assessment and analytical skills
  • Demonstrated aptitude for communicating with attending physicians to identify current workplace limitations or restrictions
  • Preference for case management and discharge experience
  • Preference for managed care/utilization review/insurance experience
  • Minimum of 3 years of clinical practice experience following a clinical master’s degree
  • Master’s Degree required in a behavioral health or mental health discipline
Key Competencies:
  • Negotiation Skills
  • Team-Player
  • Problem Solving
  • Plan Development
  • Organizational and Change Management Skills
  • Positive Customer-Focused Approach
  • Attention to Detail
Additional Information:
  • This role can be Hybrid or Remote as aligned with the Hartford's Return to Office initiative:
  • Hybrid: If you live within 25 miles an office, you will work in office at least 2 days a week
  • Remote: If beyond 25 miles from an office, this role will be 100% Remote, with the expectation of occasional in-office presence as business needs dictate.
  • Internet Connectivity Requirement/Remote Positions: For 100% remote positions, we require that (1) you have high speed broadband cable internet service with minimum upload/download speeds of 3Mbps/30Mbps and (2) your Internet provider supplied device is to be hardwired to the Hartford issued router and/or computer. To confirm whether your Internet system has sufficient speeds, please visit http://www.speedtest.net from your personal computer
Compensation
The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford’s total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is:
$69,520 - $104,280
Equal Opportunity Employer/Females/Minorities/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age