Become a part of our caring community and help us put health first
 

Behavioral Health CM Liaison builds behavioral health strategies within the enterprise, business or segment to develop best practices and processes to improve outcomes for members. Works on problems of diverse scope and complexity ranging from moderate to substantial The Behavioral Health CM Liaison develops behavioral health strategies that are inclusive of mental health and substance abuse services. Will assess and evaluate member needs and requirements to achieve and maintain optimal wellness state. As a member of the Interdisciplinary Care Team, the Behavioral Health CM Liaison will coordinate and employ a variety of strategies, approaches, and techniques to support the member’s psycho-social health needs.

This position will be based from a home office and will travel 10-15% of the time, to an assigned area in Wayne or Macomb county, to conduct in home visits with Medicare/Medicaid members.

Must reside in Michigan with the ability to drive to Wayne or Macomb Counties.

The LMSW Behavioral Health Field Care Manager will serve as the primary liaison between Prepaid Inpatient Health Plans (PIHP) and members already engaged in behavioral health services, facilitating timely service delivery, sharing updates, and resolving issues to support continuity of care.

This position will support Humana member’s access to behavioral health services, including a focus on the increased need in behavioral health services and will provide member outreach and education related to behavioral health including assessing risk, determining appropriate care in individual patient communities, collaborating with providers, bridging gaps between Health Plan and Prepaid Inpatient Health Plans (PIHPs) as well as clinicians across other Humana departments

Position Responsibilities:

• Receive and review referrals from Humana Behavioral Health for members newly identified with behavioral health needs.
• Initiate appropriate service engagement with PIHP or other providers, ensuring prompt and accurate transition of care.
• Conduct follow-up outreach to members based on referral outcomes, including those where PIHP was unable to contact or denied services, to address behavioral health needs and prevent care gaps.
• Collaborate with Special Needs Plan Care Coordinators and other disciplines to address case management concerns, ensuring comprehensive and cohesive support for members across various departments.
• Act as the principal behavioral health resource for care management teams, facilitating seamless coordination between Humana Behavioral Health, PIHP, and internal stakeholders, and providing follow-up support as needed.
• Apply independent judgment to analyze complex behavioral health cases, determine optimal care strategies, and allocate resources effectively for positive member outcomes.
• Oversee follow-up activities based on referral dispositions (e.g., unable to contact, denied), ensuring that behavioral health and care management needs are addressed efficiently and responsively.
• Partner with Special Needs Plan Care Coordinators and interdisciplinary teams to identify and address holistic needs, promoting integrated care and improved member well-being.
• Exercise autonomous decision-making in carrying out job duties and related tasks, functioning effectively under minimal supervision. 
• Travel may consist of assisting with community engagement and provider relations teams in providing a BH perspective for meetings and events with community organizations, provider groups, and advisory councils.

Use your skills to make an impact
 

Required Qualifications:

• LMSW, with current, valid social service license in the state of Michigan
• Must reside in the state of Michigan and be able to drive to Wayne and Macomb counties.
• Ability to work effectively in a hybrid team setting of remote/in field. 10-15% travel
• Minimum 2 years in an integrated care setting managing children and adult members with Behavioral Health needs such as: Substance Use, crisis/ER experience, community mental health, behavioral health inpatient, assertive community treatment, etc.
• Experience with behavioral change, health promotion, coaching and/or wellness
• Demonstrated experience in care management liaison roles, strategy development and interdisciplinary collaboration.
• Proficiency utilizing software programs, (e.g., Word, Excel & PowerPoint & shared systems) troubleshoot and resolve general technical issues.
• Knowledge of regulatory standards and best practices in behavioral health.
• Must have a separate room with a locked door that can be used as a home office to ensure continuous privacy while you work.
• Valid state driver’s license and personal vehicle liability insurance meeting minimum state requirements ($25,000 bodily injury per person/$25,000 bodily injury per event/$10,000 property damage or higher).

Preferred Qualifications

• Experience supporting patients telephonically.
• Extensive experience working in Community Mental Health or as part of a crisis response team or Assertive Community Treatment (ACT) team, and substance use disorder treatment

Additional Information:

• Initial training: 4 weeks, Monday–Friday, 8:30am–5pm EST.
• Post-training: 8-hour shift between 9am–5:30pm EST.

Work at Home Requirements

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
• Satellite, cellular and microwave connection can be used only if approved by leadership
• Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

 

$59,300 - $80,900 per year

 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us
 

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

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Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.