Remote Humana Rn Jobs in Ohio (NOW HIRING)

Role Overview: The Manager, Behavioral Health Clinical Liaison, is responsible for supporting the development, implementation, and monitoring of programs that promote whole-person integrated physical and behavioral healthcare. This role focuses on improving behavioral health service delivery, supporting cross-functional collaboration, advancing behavioral health equity, and reducing health disparities across the health plan.

Work Arrangement:

• This role is remote, and the associate must be located in Ohio (OH)
• Associates must have access to a reliable high-speed internet connection with a minimum download speed of 50 Mbps and an upload speed of 5 Mbps. Fully remote associates residing in states where internet service is required by contract, law, or regulation may be eligible for reimbursement.

Responsibilities:

• Lead the development, implementation, and monitoring of behavioral health and whole person care initiatives
• Partner with executive leadership to support integration of behavioral and physical health strategies across the plan
• Serve as a key resource for behavioral health integration and operational issues across departments.
• Collaborate with internal teams (Utilization Management (UM), Integrated Health Care Management (IHCM), Long-Term Services and Supports (LTSS) to support care coordination and service delivery.
• Consult with leadership and stakeholders on behavioral health systems, provider networks, and care management strategies
• Represent the plan to external stakeholders, including state agencies, providers, advocacy organizations, and community partners.
• Serve as a liaison with judicial systems, including courts and Department of Health and Hospitals (DHH) representatives, when applicable.
• Support interdisciplinary case rounds in partnership with clinical leadership to address complex member needs
• Promote the use of evidence-based practices and nationally recognized clinical guidelines
• Contribute to the development and review of policies to ensure integration of behavioral health and whole person care principles
• Support workforce training, professional development, and performance improvement initiatives
• Partner with Wellness Centers and Mobile Wellness teams to support outreach, screenings, and engagement activities
• Identify barriers to care and support strategies to improve access to behavioral health services
• Monitor and analyze data to identify service gaps, trends, and opportunities for improvement
• Support process improvement initiatives aligned with organizational goals and quality measures, including Healthcare Effectiveness Data and Information Set (HEDIS) outcomes
• Maintain work plans to track progress of initiatives and programs
• Ensure equitable access to services and programs for members with behavioral health and substance use needs
• Participate in enterprise workgroups and committees to support alignment with organizational strategies

Education & Experience:

• Master’s degree required in a behavioral health-related field
• 3 years of experience providing mental health and/or substance use screening and treatment services
• Minimum of 5 years of experience in the provision and supervision of treatment services for mental illness and substance use disorders
• Experience working in behavioral health systems, including care coordination, program development, or clinical operations
• Knowledge of integrated care models, whole person care, and trauma-informed care principles
• Experience collaborating with interdisciplinary teams and external stakeholders
• Experience supporting quality improvement initiatives and program implementation

Licensure:

• Independent, current, and unrestricted Ohio license required, including one of the following:
  • Registered Nurse with advance practice registered nurse (APRN)
  • Licensure, Psychologist,
  • Licensed Independent Social Worker (LISW)
  • Licensed Professional Clinical Counselor (LPCC)
  • Independent Marriage & Family Therapist (IMFT)

Skills & Abilities:

• Strong knowledge of behavioral health service delivery models and integrated care approaches
• Understanding of evidence-based behavioral health screening and treatment practices
• Ability to collaborate and build relationships with internal teams, providers, and external stakeholders
• Strong communication and presentation skills, including interaction with executive leadership and community partners
• Ability to analyze data, identify trends, and support performance improvement initiatives
• Problem-solving and critical thinking skills to address barriers to care and improve access
• Ability to manage multiple priorities and initiatives in a fast-paced environment
• Organizational and project management skills to support program implementation and tracking