Description
The Behavioral Health CM Liaison develops behavioral health strategies across the enterprise to support best practices and processes that improve member outcomes.
Responsibilities include:
- Conducting member outreach and education related to behavioral health services
- Assessing risk and determining appropriate care within individual member communities
- Collaborating with providers to support member care and service coordination
- Bridging gaps between the Health Plan, Prepaid Inpatient Health Plans (PIHPs), and clinicians across other Humana departments
- Supporting access to behavioral health services and resources for members
Key Responsibilities:
- Serve as the primary point of contact between Prepaid Inpatient Health Plans (PIHPs) and members receiving behavioral health services
- Receive and review referrals from Humana Behavioral Health for members with newly identified behavioral health needs
- Connect members with PIHPs or other appropriate providers to support smooth and timely transitions of care
- Conduct outreach to members following referral outcomes
- Partner with Special Needs Plan Care Coordinators and other care team members to address case management concerns
- Serve as a behavioral health subject matter resource for care management teams and internal stakeholders
- Coordinate with Humana Behavioral Health, PIHPs, and internal teams to support integrated care and follow-up activities
- Analyze complex behavioral health cases and use sound judgment to identify appropriate care strategies and resource needs
Requirements:
- Active Michigan social work licensure in good standing, including one of the following: LPC, LLBSW, LBSW, LLMSW, LMSW, or LCSW
- 2+ years of experience in an integrated care setting supporting members with behavioral health and/or substance use needs
- Experience in a managed care environment
- Proficiency with software applications, including Word, Excel, PowerPoint, and shared systems
Preferred Qualifications:
- Experience supporting patients telephonically
- Experience working in Community Mental Health, on a crisis response team, an Assertive Community Treatment (ACT) team, and/or in substance use disorder treatment
Additional Information:
- Schedule: Initial Training: 4 weeks, Monday through Friday, 8:30 AM to 5:00 PM EST. Post-Training: 8-hour shift scheduled between 9:00 AM and 5:30 PM EST.
- Work Location: Michigan, with the ability to travel to Wayne and Macomb counties
- Work Style: Hybrid (80% remote / 20% field)
- Travel Requirements: Up to 20%, including travel to Wayne and Macomb counties