Clinical Behavioral Health Specialist

Sedgwick

19h•Hybrid

About The Position

The Clinical Behavioral Health Specialist will identify and address psychosocial, medical, and employment issues within a claim, actively engaging in resolution. This role involves working in conjunction with and providing recommendations and education to the claims examiner, claimant, and clinical team. The specialist will collaborate with the clinical team and claimant to overcome medical and return-to-work barriers, establish positive claimant relationships, aid in reducing litigation, and serve as a resource to the claimant and other members of the clinical team. Sedgwick is recognized by Newsweek as one of America's Greatest Workplaces and is certified as a Great Place to Work® and a Fortune Best Workplaces in Financial Services & Insurance.

Requirements

Master's degree from an accredited college or university in social work, psychology, or counseling required.
Independent clinical license at the master’s level- Licensed Clinical Social Worker (LCSW), Licensed Independent Clinical Social Worker (LICSW), Licensed Master Social Worker (LMSW), Certified Independent Practice Social Worker (CIPSW), Independent Social Worker (ISW), Licensed Clinical Professional Counselor (LCPC), or Licensed Professional Clinical Counselor (LPCC), or equivalent in colleague state required.
Six (6) years of related experience or equivalent combination of education and experience required to include four (4) years of clinical experience.
Travels as required.

Nice To Haves

Experience conducting psychosocial assessments preferred.
Spanish as a second language preferred.

Responsibilities

Identifies claimant's psychosocial issues/needs, related barriers, and post traumatic injury/incident.
Assesses claimant's situation for psychosocial needs, cultural implications, and support systems in place.
Develops a plan to improve medical progression, return to work, and reduce litigation.
Provides counseling, ongoing assessment and addresses personal and team goals to ensure appropriate resources are available to claimant.
Promotes patient advocacy and interacts with the claimant in a positive manner.
Communicates clearly with claimants, physicians, claim examiners, and other members of the clinical team and maintains professional client relationships.
Performs clinical assessment of claimant, physician, employer and attorney if appropriate.
Creates a case management plan based on the assessment with measurable goals and objectives utilizing evidence-based criteria.
Monitors ongoing progress toward these goals and objectives; implements plan through case management interventions.
Maintains case and unit goals to achieve optimal outcomes and customer service/satisfaction goals.
Manages assigned cases timely and facilitates claim closure based on treatment goals and return-to-work issues.
Maintains solid clinical knowledge of psychiatric disease processes including familiarity with DSM-5 guidelines.
Travels as required.