HMSA Care Manager - Behavioral Health, Utilization Management Reviewer - Remote

Overview

The HMSA Care Manager will work remotely from Hawaii, focusing on the authorization and review of mental health and substance abuse services while collaborating with clinical teams to ensure quality care.

In Short

• Remote position based in Hawaii.
• Requires licensure in Hawaii.
• Authorizes and reviews utilization of mental health services.
• Participates in discharge planning and care coordination.
• Provides member assistance with mental health and substance abuse issues.
• Monitors inpatient and outpatient care services.
• Conducts telephone triage and crisis intervention.
• Engages in quality improvement projects.
• Works with community agencies for patient support.
• Advocates for patients' treatment needs.

Requirements

• Current licensure required (e.g., LCSW, LPC, RN).
• Minimum 2 years of experience in healthcare or behavioral health.
• Strong organizational and communication skills.
• Knowledge of utilization management procedures.
• Experience in inpatient and outpatient settings.
• Familiarity with DSM V.
• Ability to analyze and implement care solutions.
• Experience with quality improvement activities.
• Ability to work collaboratively with providers.
• Commitment to patient advocacy.

Benefits

• Competitive salary range of $58,440 - $93,500.
• Short-term incentives may be available.
• Comprehensive benefits package.
• Opportunities for professional growth and development.
• Support for total health and wellness.
• Recognition and rewards for employee contributions.
• Work in a caring and supportive environment.
• Equal opportunity employer committed to diversity.
• Flexible work arrangements.
• Engagement in community service initiatives.