Senior Consultant, Student Health
Risk Strategies Company
Consultant, Behavioral Health I
Lincoln Financial
full-time
Posted on:
Location Type: Remote
Location: Remote • North Carolina • 🇺🇸 United States
Visit company websiteSalary
💰 $69,000 - $90,000 per year
Job Level
Mid-LevelSenior
About the role
- 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.
Requirements
- 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)
- 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
Benefits
- Clearly defined career tracks and job levels, along with associated behaviors for each of Lincoln's core values and leadership attributes
- Leadership development and virtual training opportunities
- PTO/parental leave
- Competitive 401K and employee benefits
- Free financial counseling, health coaching and employee assistance program
- Tuition assistance program
- Work arrangements that work for you
- Effective productivity/technology tools and training
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
behavioral health assessmentclinical claims reviewcase managementdisability managementutilization reviewworker's compensationprocess improvementcoachingfeedback managementclinical information evaluation
Soft skills
communicationcollaborationchange managementproblem-solvinginitiativeprofessional growthinfluencingsupportingconstructive feedbackresourcefulness
Certifications
Master's degree in Human ServicesLICSWLCMHCLPCLMFTCertified Case Management (CCM)
