Behavioral Health Case Manager

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:

• Supports the leadership team by demonstrating understanding of customer needs and expectations as well as ensuring performance objectives are met
• Collaborates with Ability Benefits Manager and other key players (Vocational Rehabilitation, Consultants, Medical Nurse
• Manages risk and resources on highly complex behavioral health claims
• Reviewers, etc.) for proactive movement of the claim to resolution
• Independently conferences with treating providers and/or other higher-level facilities to evaluate clinical symptomology present in claimants
• Reviews clinical integration systems and determines appropriate referral resources to achieve an optimum level of health
• Leverages resources such as vocational rehabilitation, risk management unit, physician reviews, home assessments, etc.
• Conducts comprehensive evaluation of a disability claimant functionality
• Advises on highly complex claims at multidisciplinary clinical review roundtables to ensure optimal outcomes
• 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
• Determines when claims contain quality of care issues and escalates these through established channels
• 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
• 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

Qualifications:

• Ability to make sound judgments
• Preference for managed care/utilization review/insurance experience
• A license to practice independently is required
• Ability to assess and explain complex medical condition
• Demonstrated desire to learn about the insurance business.
• Master’s Degree required in a behavioral health or mental health discipline
• License in Behavioral Health Clinical work which may include professional designations in Social Work, Mental Health, Marriage/Family Counseling, etc.
• Preference for crisis intervention skills
• Solid technical acumen with Microsoft Office: Word, Excel & PowerPoint
• Demonstrated aptitude for communicating with attending physicians to identify current workplace limitations or restrictions
• Professional licenses in: LMHC, LCSW, LMFT,LPC or other similar designations are required
• Readily able to accurately document activities
• Preference for case management and discharge experience
• Accurate clinical assessment and analytical skills
• Minimum of 3 years of clinical practice experience following a clinical Master’s Degree

Key Competencies:

• Attention to Detail
• Negotiation Skills
• Organizational and Change Management Skills
• Team-Player
• Problem Solving
• Plan Development
• Positive Customer-Focused Approach

Additional Information:

• This is a 100% remote, work from home opportunity.
• 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

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Behavioral Health Case Mgr - CT08IE