Job Information
Health Plans, Inc. Behavioral Health Case Manager, RN (Remote) in Portland, Maine
Do you envision working for a company that has the expertise of a long-standing industry leader, but the spirit of an entrepreneur? Does the thought of making a real impact motivate and energize you? If so, HPI is the place for you. Join a team that values integrity, flexibility, loyalty, compassion and dedication—we can’t wait to meet you.
What we do
HPI is unique. A respected industry leader that’s been serving customers for over 40 years, we’re known for our innovation and growth. Our experience has given us our expertise, but our forward-thinking, entrepreneurial spirit has given us our strong reputation. As a third-party administrator, we offer a suite of health and benefit solutions to employers. By joining HPI, you’ll contribute to ideas that make a real difference for employers and employees nationwide. There isn’t a challenge we won’t accept and we’re looking for people who have a passion to take it on. Not just a job—a mission.
What you’ll do
The Case Manager is responsible for the coordination of services and cost effective management of health care resources to meet individual members' health care needs and promote positive health outcomes.
In this role, you’ll also:
Communicate with members/designees, physicians and other health care professionals regarding the Care Management process including information about the role of HPI and the Case Management program
Telephonically assess members referred for Discharge Outreach services, for purposes of problem identification and referral to Case Management, when assigned to the Discharge Outreach Program, to ensure safe transition to next level of care upon discharge
Determine and document quantifiable Case Management outcomes, including avoidable and actual dollar savings
Advocate for options and services within the constraints of the health benefit plan to meet members’ health care needs
Promote and facilitate excellent communication among the member/designee, family and health care team
Continually educate and enable the patient/family in order to promote self-management and self-advocacy
Research available community resources and alternative funding sources as appropriate
Identify quality of care issues and escalate concerns to Management as appropriate
Ensure documentation is objective and accurate
Conduct utilization management of appropriate level of care and length of stay using standardized clinical criteria
Consult with Physician Reviewers and other experts to determine appropriateness of care as needed
Comply with all HIPAA standards for documentation, security and privacy
What you bring
Three or more years’ clinical experience in behavioral health
Active, current and unrestricted professional licensure Registered Nurse (RN) in MA, ME, NH, or state of residency
Why choose us?
Our space is a reflection of who we are—innovative, open and collaborative.
Love to get creative? We do too. Brainstorm in one of our team break-out rooms.
We think feeling your best is an important factor in producing great work, so we embrace a “smart casual” dress code and work at ergonomic desks.
Need to reenergize? Take a break to chat in the onsite café, go for a walk on one of the beautiful trails in our office park, or get in a quick workout at one of the campus gyms.
We offer our employees flexible work arrangements including remote and hybrid options (depending on the position)
We’re a people-first company and value giving back to our community. Ask us about our RISE Committee & and volunteer opportunities.
Benefits
We care about you and believe the greatest gift you can give yourself, your family, and the world is a healthy you! We offer a comprehensive and competitive benefits package to help you lead a happy, healthy life. Check out some of the benefits we offer to our employees:
Medical, Dental and Vision Coverage
Prescription Drug Coverage
Fitness Reimbursement Benefit
Tobacco Cessation Program
Employee Assistance Program
Flexible Spending Account & Health Savings Account
401(k) and Profit-Sharing Plan
Quarterly Bonuses
Generous Paid-Time Off
Volunteer Days
Education Assistance & Professional Development Opportunities
….and much much more!
So, think you want to join the HPI team? We hope to hear from you!
You can read more about us at hpitpa.com/about-us/careers/
EEO/AA/M/F/Vet/Disability Employer