The Hartford Behavioral Health Case Manager in United States

Title: Behavioral Health Case Manager

Location: United States

Job Number: 1700253

Behavioral Health Case Manager

WHAT ARE THE RESPONSIBILITIES OF THE POSITION?
The successful hire will be responsible for the review of Long-Term Disability (LTD) and Short-term Disability (STD) claims with complex medical conditions referred for medical assessment; clarification of limitations/ restrictions; and/or case management.
• Work closely with the STD/LTD Claims Team to identifying appropriate claim referrals and effectively assessing claims to ensure they reach the appropriate claim outcome.
• Collaborate with Rehabilitation Case Managers; Ability Analysts; Employees, Policyholders, Healthcare Providers, and Vendors to facilitate and coordinate case management strategies to facilitate a potential Return to Work.
• Clearly document and track efforts and outcomes.
• Periodically participate and facilitate training programs and/or presentations


Qualifications:
WHAT ARE THE QUALIFICATIONS?

• At least 3 years of current clinical experience in an acute care, orthopedic, rehabilitation; industrial medical settings; behavioral health settings, or current experience as a disability case manager
Licensed Mental Health Professional highly preferred or Registered Nurse (RN) with a Psychology or Behavioral Health background
• CCM, CDMS, COHN, CRRN or comparable industry certification preferred.
• Clinical ability to assess claims with complex medical histories which may include claimants with subjective diagnoses, co-morbid conditions, etc.
• Strong written/ verbal communication skills; computers and Microsoft Office programs.
• Ability to explain complex medical conditions and ability to communicate with attending physicians to identify current limitations/restrictions as it relates to the work place.
• Accurate clinical assessment and analytical skills, ability to make sound judgments and to accurately document activities, and the desire to learn about the insurance business.
• Prior experience in facilitating RTW for disabled employees, knowledge of return to work best practices, ergonomics, FMLA, and related Human Resources is desired.
• Must keep current in area of expertise and acquire CEU's as necessary to maintain certification.
• Negotiation skills, problem solving, plan development competencies are essential.
• Organizational and Change Management skills, accountability in meeting deadlines, and being a team player are also essential

Behaviors at the Hartford

  • Deliver Outcomes – Demonstrate a bias for speed and execution that serves our shareholders and customers.
  • Operate as a Team Player – Work together to drive solutions for the good of The Hartford.
  • Build Strong Partnerships – Demonstrate integrity and build trust with others.
  • Strive for Excellence – Motivate yourself and others to achieve high standards and continuously improve.

    Equal Opportunity Employer/Females/Minorities/Veterans/Disability/Sexual Orientation/Gender Identity or Expression

Job: Case Management