Behavioral Health Case Manager

. Conduct comprehensive evaluations of disability claimant functionality .

Posted 9/25/2026full-timeUnited StatesMid-LevelSenior💰 $74,800 - $112,200 per yearWebsite

Key responsibilities & impact

Conduct comprehensive evaluations of disability claimant functionality
Advise on highly complex claims at multidisciplinary clinical review roundtables
Identify and escalate quality-of-care issues through established channels
Conference independently with treating providers and higher-level facilities to evaluate claimant clinical symptomology
Leverage vocational rehabilitation, risk management, physician reviews, home assessments and other resources
Manage risk and resources on highly complex behavioral health claims
Identify return-to-work options and barriers, partnering with internal resources for transition back to employability and normal activities
Review clinical integration systems and determine appropriate referral resources
Support leadership by understanding customer needs and ensuring performance objectives are met
Document functionality versus impairment and provide recommendations regarding clinical findings
Collaborate with Ability Benefits Managers and other stakeholders to move claims to resolution
Manage Short-Term Disability to Long-Term Disability transitions on behavioral health claims

What you’ll need

Minimum of 3 years of clinical practice experience following a clinical master’s degree
Master’s Degree required in a behavioral health or mental health discipline
License in Behavioral Health Clinical work, including professional designations in Social Work, Mental Health, Marriage/Family Counseling, etc.
Professional license such as LMHC, LCSW, LMFT, LPC or other similar designation required
License to practice independently required
Preference for case management and discharge experience
Preference for managed care/utilization review/insurance experience
Preference for crisis intervention skills
Solid technical acumen with Microsoft Office: Word, Excel & PowerPoint
Ability to assess and explain complex medical condition
Ability to communicate with attending physicians to identify workplace limitations or restrictions
Accurate clinical assessment and analytical skills
Ability to make sound judgments
Ability to accurately document activities
Desire to learn about the insurance business
Negotiation skills
Problem solving
Plan development
Attention to detail
Team-player approach
Positive customer-focused approach
Organizational and change management skills

Comp & perks