Behavioral Health CM Liaison

Humana · Remote Michigan · $65,000 - $88,600 per year · remote 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 the community mental health center (Prepaid Inpatient Health Plans (PIHPs)) and members receiving behavioral health services Receive and review referrals from within the interdisciplinary care team for members with behavioral health concerns who need support accessing services 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 and support coordinated member care Serve as a behavioral health subject matter resource for care management teams and internal stakeholders Coordinate 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, LPCC, BSW, MSW, 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