Consultant, Behavioral Health

Lincoln Financial Group • Papillion, NE

275d • $69,000 - $90,000 • Remote

About The Position

We are excited to bring on a knowledgeable and motivated Behavioral Health Consultant to our Clinical Organization. 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. 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.

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)

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

Responsibilities

• 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.
• 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.

Benefits

• Clearly defined career tracks and job levels, along with associated behaviors for each Lincoln leadership Attribute.
• 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
• A leadership team that prioritizes your health and well-being; offering a remote work environment and flexible work hybrid situations
• Effective productivity/technology tools and training

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Securities, Commodity Contracts, and Other Financial Investments and Related Activities
• Education Level: Master's degree