Behavioral Health Clinical Case Manager-Virtual
Alight SolutionsAbout the role
Amazing Opportunity and Great Place to Work!
Do you have advanced experience in Behavioral Health absence management?
Our Story
At Alight, we believe a company’s success starts with its people. At our core, we Champion People, help our colleagues Grow with Purpose and true to our name we encourage colleagues to “Be Alight.”
Our Values
Champion People – be empathetic and help create a place where everyone belongs.
Grow with purpose – be inspired by our higher calling of improving lives.
Be Alight – act with integrity, be real and empower others.
It’s why we’re so driven to connect passion with purpose. Alight helps clients gain a benefits advantage while building a healthy and financially secure workforce by unifying the benefits ecosystem across health, wealth, wellbeing, absence management and navigation.
With a comprehensive total rewards package, continuing education and training, and tremendous potential with a growing global organization, Alight is the perfect place to put your passion to work.
Join our team if you Champion People, want to Grow with Purpose through acting with integrity and if you embody the meaning of Be Alight.
Learn more at careers.alight.com.
About the Role
The Behavioral Health Case Manager provides clinical oversight to behavioral health disability and leave of absence claims. They recommend clear duration of psychiatric conditions and limitations impacting disability. Assists the case manager in determining claim liability and proactive return to work plans.
Responsibilities
- Assessing the impact of clinical conditions on functional limitations by reviewing employee reports and medical evidence. Evaluate and analyze the reports to determine the effect of clinical conditions on functional limitations.
- Applying current clinical knowledge regarding diagnosis, treatment, prognosis, and functional impairment in context of essential work functions. Participating in early assessment of clinical symptoms, functional impairment, psychosocial dynamics, and return-to-work (RTW) opportunities.
- Utilizing clinical expertise to assess recovery time. Determining Medical Disability Guidelines, diagnosis, illness severity, treatment plans, and functional impairment's impact on job demands.
- Ensuring quality standards for clinical case management and consultations are consistently met.
- Upholding commitment to ethical business practices. Following through on commitments by continuously striving to provide quality products and customer service.
Requirements
- Experience as Psychiatric RN, Mental Health Counselor, Clinical Social Worker, or Psychologist. Have a valid License in good standing.
- Demonstrate knowledge of medical and clinical documentation related to functional impairment.
- Experience in the mentoring and advising of claim managers on effective behavioral health clinical case management strategy.
- Case management experience in behavioral health and disability/absence management.
- Work experience with the Medical Disability Guidelines or Utilization Review Treatment Guidelines.
- Have certification in related field, e.g., CDMS, ADMS or CCM.
Flexible Working
So that you can be your best at work and home, we consider flexible working arrangements wherever possible. Alight has been a leader in the flexible workspace and “Top 100 Company for Remote Jobs” 5 years in a row.
Benefits
We offer programs and plans for a healthy mind, body, wallet and life because it’s important our benefits care for the whole person. Options include a variety of health coverage options, wellbeing and support programs, retirement, vacation and sick leave, maternity, paternity & adoption leave, continuing education and training as well as a number of voluntary benefit options.
By applying for a position with Alight, you understand that, should you be made an offer, it will be contingent on your undergoing and successfully completing a background check consistent with Alight’s employment policies. Background checks may include some or all the following based on the nature of the position: SSN/SIN validation, education verification, employment verification, and criminal check, search against global sanctions and government watch lists, credit check, and/or drug test. You will be notified during the hiring process which checks are required by the position.
Our commitment to Diversity and Inclu
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