Behavioral Health Clinical Case Manager

Amazing Opportunity and Great Place to Work!

Are you looking for a new opportunity with a goal-oriented team?

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. Our team’s expertise in human insights and cloud technology gives companies and employees around the world the ability to power confident decisions, for life.

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 Clinical Case Manager provides clinical oversight to behavioral health disability and leave of absence claims. As the subject matter expert on these files, they review claim decisions and consult on a variety of case management initiatives including medical disability durations, return to work obstacles and/or return to work planning and clinical guidance/education to internal stakeholders. They recommend clear duration of psychiatric conditions and limitations impacting disability to assist the case manager in determining claim liability.

Responsibilities

• Serving as primary resource on team managing medical disability and accommodation cases.
• Presenting cases to a panel that includes physicians in weekly “round table/touch point” meetings.
• Displaying a professional/corporate presence and presentation style. Additionally, demonstrate excellent problem-solving skills when questioned on your case management plans.
• Consulting on medical, behavioral health, and accommodation claims, if within the scope of licensure and clinical expertise.
• Assisting in making informed choices via patient advocacy in alignment with Medical Disability Guidelines and employer-based benefit plans and/or laws.
• Acting as a liaison between all parties required in case management to facilitate continuous communication and consensus.
• Providing documentation, feedback, and reports to diverse occupational populations with an underlying emphasis on returning medically able individuals to productive endeavor.
• Managing caseload efficiently, organizes priorities, provides timely intervention and maintains sensitivity to confidential records.
• Ensuring quality standards for case management are met and driving return to work process.

Requirements

• Be a Registered Nurse, Nurse Practitioner, or possess a comparable license with experience. Additionally, possess a working knowledge of disability, client processes, and case management.
• 5+ years medical advisory experience in occupational health, worker compensation, disability, health case management, or utilization review.
• 2+ years as a Clinical Case Manager
• Have ability to work in hybrid environment . Office is located in Jersey City, NJ.
• Demonstrate a dedication to providing high quality customer service, using diplomacy, patient advocacy, and professional competency.
• Be available for occasional escalations outside of normal business hours (max 8-10 occasions/year).

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