Clinical Behavioral Health Specialist

PRIMARY PURPOSE

To identify and address psychosocial, medical, and employment issues within a claim and be actively engaged in resolution; to work in conjunction with and provide recommendations and education to the claims examiner, claimant, and clinical team; to work with the clinical team and claimant to overcome medical and return-to-work (RTW) barriers; to establish positive claimant relationships and aid in reducing litigation; and to serve as a resource to the claimant and other members of the clinical team.

ESSENTIAL RESPONSIBILITIES

• Identifies claimant's psychosocial issues/needs, related barriers, and post traumatic injury/incident.
• Affirms 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.
• 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.
• Solid clinical knowledge of psychiatric disease processes including familiarity with DSM-5 guidelines.
• Trips as required.

QUALIFICATIONS

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

BENEFITS

• Three Medical, and two dental plans to choose from.
• Tuition reimbursement eligible.
• 401K plan that matches 50% on every $ you put in up to the first 6% you save.
• 4 weeks PTO your first full year.

COMPENSATION

The range of starting pay for this role is $75,000-$80,000.

APPLYING

If your application is selected to advance to the next round, a recruiter will be in touch.