Consultant, Behavioral Health I

Alternate Locations: Dover, NH (New Hampshire); Charlotte, NC (North Carolina); Omaha, NE (Nebraska)

 

 Work Arrangement:

Remote : Work at home employee residing outside of a commutable distance to an office location.

 

Relocation assistance:  is not available for this opportunity.

 

Requisition #: 72706

 

The Role at a Glance

    As a Behavioral Health Consultant, you will be part of a growing mental health team within the Group Protection Clinical organization. You will collaborate with Independent Consulting Physicians, Claims Specialists, and Nurse Disability Consultants to assist with reviewing and assessing mental health disability claims.

What you'll be doing

•    You will act as a resource to review, analyze, and interpret medical information as well as assess ongoing interventions and functional capacity for psychiatric, social, psychological, and vocational areas.
•    Discusses behavioral health issues with health care providers as needed and documents outcomes of discussion.
•    Acts as a behavioral health resource to claim professionals during claim meetings and behavioral health clinical forums as needed. Shares knowledge on early assessment of behavioral health issues, work capacity, and return to work opportunities.
•    Consults/Analyze on more complex assignments and/or projects for their assigned area(s) of responsibility.
•    Identifies pertinent behavioral health clinical facts and answers questions in collaboration with benefits specialists and physician consultants.
•    Clarifies, interprets, and/or evaluates behavioral health clinical information to assess appropriateness of current and ongoing restrictions / limitations and level of impairment.
•    Contacts claimants, employers, and health care providers to obtain pertinent information for clinical claims reviews.
•    Champions and enhances organizational initiatives by positively influencing and supporting change management and/or departmental/enterprise initiatives within assigned area(s) of responsibility.
•    Maintains knowledge on current and emerging developments/trends for assigned area(s) of responsibility, assesses the impact, and collaborates with management to incorporate new trends and developments in current and future solutions.
•    Educates attending health care providers regarding the need for behavioral health medical information to support restrictions and limitations.
•    Coordinates and partners with Vocational Rehabilitation Coordinators (VRC) and others to support with return to work services.
•    Effectively manages assigned caseload within department productivity goals.
•    Provides and receives constructive feedback in a professional manner to/from internal/external customers
•    Makes appropriate referrals to internal and external clinical resources (i.e. IME, FCE, Peer Reviews).
•    Identifies and recommends process improvements that significantly reduce workloads or improve quality for their assigned area(s) of responsibility.
•    Provides coaching and guidance to claims partners regarding medical management.
•    Recommends specific information needed to evaluate ongoing level of impairment and to facilitate optimal claim management.
•    Serves as a resource to team members and applicable internal/external stakeholders on more complex assignments/projects for their assigned area(s) of responsibility.
•    Sets professional growth goals and takes initiative to reassess throughout the year.
 

What we’re looking for

Must-haves:
·    Master’s degree in Human services related field (Social Work, Clinical Psychology, Mental Health Counseling, etc.)
·    Licensure in Clinical Psychology or Social Work (LICSW, LCMHC, LPC, LMFT, etc)

Nice-to-haves:  
·    3-5 years experience in a behavioral health setting including 1 year in claims, disability management (STD/LTD), worker’s compensation, utilization review, and or behavioral health case management
·    Certified Case Management (CCM) designation
 

 

What’s it like to work here?

At Lincoln Financial Group, we love what we do. We make meaningful contributions each and every day to empower our customers to take charge of their lives. Working alongside dedicated and talented colleagues, we build fulfilling careers and stronger communities through a company that values our unique perspectives, insights and contributions and invests in programs that empower each of us to take charge of our own future.

 

What’s in it for YOU:

• A clearly defined career framework to help you successfully manage your career

• Leadership development and virtual training opportunities

• PTO/parental leave

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