15 days old

Consultant, Behavioral Health

Lincoln Financial Group
Dover, NH 03820
  • Job Code
    09938019323
Alternate Locations:Atlanta, GA (Georgia); Charlotte, NC (North Carolina); Dover, NH (New Hampshire); Omaha, NE (Nebraska); Phoenix, AZ (Arizona)

Relocation assistance is not available for this opportunity.

Level: P3

Requisition #64404

About the Company

Lincoln Financial Group, a Fortune 250 company with over 10,000 employees, provides advice and solutions that help empower Americans to take charge of their financial lives with confidence. Our core business areas Life Insurance, Annuities, Retirement Plan Services and Group Protection focus on supporting, preserving and enhancing over 17 million customers lifestyles and retirement outcomes.

Headquartered in Radnor, Pennsylvania, Lincoln Financial Group is the marketing name for Lincoln National Corporation (NYSE: LNC) and its affiliates. The company had $238 billion in assets under management as of December 31, 2018.

Ranked one of the Best Large Employers in America by Forbes magazine, Lincoln Financial Group makes a serious investment in our employees futures through a broad range of wealth accumulation and protection plans, health and wellness programs, and career development resources designed to help each individual reach their personal and professional goals.

General Purpose of Job

This role will review, analyze, and interpret medical information related to behavioral health and substance abuse conditions in short-term and long-term disability claims. S/he will assess ongoing interventions and functional capacity in the following areas: psychiatric, social, psychological, and vocational. S/he will review clinical information to clarify diagnoses, evaluate severity of behavioral health and substance abuse conditions, validate medical restrictions/limitations, estimate duration of recovery, and, collaborate with an interdisciplinary team regarding a return-to-work plan.

Duties and Responsibilities

Achieves and maintains professional continuing education units (CEUs) by attending educational seminars and other required LFG educational activities (i.e. ethics, confidentiality).

Acts as a resource, shares knowledge and coaches other nurses and internal stakeholders through early assessment of behavioral health issues, work capacity, and return to work opportunities.

Champions and enhances organizational initiatives by positively influencing and supporting change management and/or departmental/enterprise initiatives within assigned area(s) of responsibility.

Consults with interdisciplinary team on more complex assignments and/or projects for his/her assigned area(s) of responsibility.

Consults/Analyze on more complex assignments and/or projects for his/her assigned area(s) of responsibility.

Educates attending health care providers regarding the need for behavioral health medical information to support restrictions and limitations.

Identifies and recommends process improvements that significantly reduce workloads or improve quality for his/her 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.

Makes timely and appropriate referrals to internal and external clinical resources.

Prepares clear and concise verbal and written communications in layman's terms when interpreting medical information, documenting rationales for clinical opinions, clarifying restrictions and limitations, and assisting with return to work.

Provides claims examiners with recommendations for specific behavioral health medical information needed to evaluate ongoing level of impairment and helps to facilitate and promote optimal claim management.

Serves as a resource to team members and applicable internal/external stakeholders on more complex assignments/projects for his/her assigned area(s) of responsibility.

Sets goals with management for personal and professional growth and takes initiative to reassess throughout the year.

Supports team members in providing training and mentoring to new claims staff, peers and/or other claim professionals.

Additional Position Responsibilities

Carries out duties in compliance with all state and federal regulations and guidelines. Complies with all company and site policies and procedures.

Makes a positive contribution as demonstrated by: - Making suggestions for improvement - Learning new skills, procedures and processes

Performs other duties as required.

Remains current in profession and industry trends.

Other Skills and Abilities

Ability to learn and utilize claim management system.

Ability to learn corporate computerized claim management system.

Ability to perform under stress in cases of emergency, critical or hazardous situations.

Ability to review, synthesize and summarize medical information to assess level of functional impairment.

Ability to work with others in a team environment.

Demonstrated strong relationship management skills with internal clients (e.g. management, peers and colleagues); proven ability to develop collaborative approaches.

Demonstrates ability to identify and recommend processes improvements.

Demonstrates excellent organizational skills with the ability to prioritize workload and multi-task while maintaining strict attention to detail.

Demonstrates knowledge, skill and problem solving in communicating effectively with internal customers and external resources.

Demonstrates strong interpersonal skills with a collaborative style.

Demonstrates the ability to use sound judgment and discretion regarding confidential information.

Disability Management (STD/LTD) knowledge.

Disability, absence management and/or Workers Compensation experience.

Exceptional customer service skills.

Finds common ground and can gain collaboration among management, colleagues and peers; can influence outcomes without directing or commanding.

Knowledge of medical terminology.

Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook).

Strong project management skills including, critical ability to coordinate and balance multiple projects in a time-sensitive environment, under pressure, and meeting deadlines.

Successfully completes regulatory and job training requirements.

Education

Other: - Minimum Required in Bachelor's of Science in Nursing or equivalent 4 years of related behavioral health work experience in lieu of Bachelor's

Certifications

Certified Case Manager (CCM) -Upon Hire

Certified Occupational Health Nurse (COHN). -Upon Hire

Registered Nurse - Current, unrestricted license in the state where the position is located. -Upon Hire

Experience

3 - 5+ Years of experience in inpatient or outpatient therapy directly related to the specific responsibilities of this role (Required )

This position may be subject to Lincolns Political Contribution Policy. An offer of employment may be contingent upon disclosing to Lincoln the details of certain political contributions. Lincoln may decline to extend an offer or terminate employment for this role if it determines political contributions made could have an adverse impact on Lincolns current or future business interests, misrepresentations were made, or for failure to fully disclose applicable political contributions and or fundraising activities.

Any unsolicited resumes/candidate profiles submitted through our web site or to personal e-mail accounts of employees of Lincoln Financial Group are considered property of Lincoln Financial Group and are not subject to payment of agency fees.

Lincoln Financial Group (LFG) is an Equal Opportunity employer and, as such, is committed in policy and practice to recruit, hire, compensate, train and promote, in all job classifications, without regard to race, color, religion, sex (including pregnancy), age, national origin, disability, sexual orientation, gender identity and expression, veterans status, or genetic information. Applicants are evaluated on the basis of job qualifications. If you are a person with a disability that impedes your ability to express your interest for a position through our online application process, or require TTY/TDD assistance, contact us by calling 260-455-2558.

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Posted: 2020-10-04 Expires: 2020-11-02
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Consultant, Behavioral Health

Lincoln Financial Group
Dover, NH 03820

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