As a Behavioral Health Consultant, you will provide consultation services to maximize return-to-work outcomes and duration of claims by providing understanding of medical documentation. Develop analysts and team members by sharing medical knowledge.

• Independently provide behavioral health consultative services to claims staff with information and tools to assist with claim decisions including clearly noting what rationale is/was used to determine suggested direction. Make appropriate decisions when to leverage external resources (IME, Peer review) and develop questions to include as necessary. Contact claimant or Attending Physician when appropriate for interview regarding condition, symptoms, functionality, treatment plan and clarification of restrictions if needed. Impact claims facilitation with internal and external customers by providing accurate, concise and timely written and verbal communications.
• Maintain a high level of knowledge of behavioral health conditions and recovery periods to consistently and effectively coach and develop staff.
• Maximize team performance by development of claims staff by sharing knowledge as well as sharing information learned from CEU seminars.
• General knowledge of STD and LTD policy provisions to ensure appropriate direction of consultative services.
• Perform other job-related duties and special projects as required.

Who You Are

• Education & Licensure (one of the following required):
  • Master’s degree or equivalent with a Licensed Mental Health Counselor (LMHC) or Licensed Independent Social Worker (LISW) designation required. Must have an active license in good standing and 2+ years of relevant professional experience
  • Registered Nurse (RN) with a bachelor’s degree or equivalent required. Must hold an active RN license in good standing and have 2+ years of relevant professional experience
• Master’s level degree or equivalent: Required LMHC (licensed mental health counselor) or LISW (Licensed Independent Social Worker) in good standing. OR
• Bachelor’s degree or equivalent preferred with 2+ years’ experience: Required active RN license (in good standing).
• 2+ years’ experience in disability claims is preferred.
• Business unit and company product knowledge is preferred.
• Must be able to provide court testimony of industrial hearings.
• Must have excellent organizational, problem-solving, analytical, presentation, communication skills.
• Must be accurate and detail oriented.
• Must be able to maintain a high degree of confidentiality.
• Travel may be required, including overnight stays.

• Are you interested in this position?

   

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