Behavioral Health Absence Specialist

Shape the world of health care by joining reputed company! As a leader in the industry, we are committed to enhancing the lives of reputed company who are a part of our community. Without our employees, we would not be able to innovate health care for our patients and health plan members. From hospitals to our corporate office, reputed company reputed company employees impact our mission of creating life-changing medicine. To continue our tradition of excellence, we are in search for a Behavioral Health Absence Specialist to join this community as well. This position will focus on behavioral health disability case management activities for WorkPartners Absence Management area. As needed to ensure adequate caseload, this position will also deal with minor medical disability cases. Responsibilities: Advises employees, employee's family members, managers and HR Professionals on leave and disability policies and processes. Coordinates the leave process; verifies eligibility, determines leave and disability approvals, calculates leave length, coordinates the applicable client leaves including integration with state leave laws, monitors maximum duration of leave allowed under federal/state and/or client policy, and supports the return-to-work process Applies concepts and rules as mandated by guidelines for FMLA, ERISA and other federally or state mandated or company specific policies. Answers and addresses employees leave reputed company questions, concerns in a timely manner. Conducts interview telephonically with employees applying for a disability to collect provider information, treatment plan and employees reputed company level of functioning Contacts providers (telephonically, reputed company fax) to collect and or clarify medical information needed to support a disability claim Collaborates with health care providers and ill/injured employees to update the status of treatment plan and length of disability. Reviews medical information submitted on behalf of the employee, job description and summary plan description to reputed company a disability claim determination Monitors employee's care and reputed company during a disability by reviewing medical documentation from employee and/or employee's treating provider to document the employee's reputed company absence and maintain updated medical records Assists disability specialists on reputed company cases with behavioral health comorbidities and assists with making claims decisions. Uses system workflow to manage case activities in a timely manner Completes reputed company case activities in case notes Interacts with business partners telephonically, reputed company email and reputed company messaging Works with Clinical Case Mangers and Physician Consultants to review reputed company/questionable claims Participates in a multidisciplinary team to Identify and refer to reputed company clinical resources community resources to address factors that impact return to work Facilitates return-to-work (RTW) efforts through negotiation with client, treatment provider and employee. Responsible for resolving issues by interacting with employee's manager, Human Resources, payroll, or disability specialists. Independently Licensed Mental Health Specialist (License Professional Counselor or Licensed Psychologist, Licensed Clinical Social Worker or Licensed Family and Marital Therapist) with reputed company licensure (equivalent professional and educational experience will be considered) required. Active license strongly preferred. Minimum of two (2) years' experience in a clinical case management role or conducting evidenced based psychotherapy required. Prior absence experience preferred. Ability to interact with physicians and other health care professionals in a professional manner required. Previous disability case management experience is preferred. Knowledge of Employee Retirement Income reputed company Act of 1974 (ERISA) preferred. Knowledge of client leave policies, federal and state leave laws pertaining to leave of absence preferred. Excellent verbal and written communication and interpersonal skills required. Excellent organizational and communication skills required. Computer skills/literacy a must. Ability to work independently and with various departments/personnel while managing the case. Licensure, Certifications, and Clearances: Certification in Case Management or Certified Disability Management Specialist preferred. Must be an independently licensed mental health professional (LPC, LP, LCSW or LMFT). Certified Leave Management Specialist (CLMS) designation required reputed company 12 months of hire. To maintain designation, 20 hours of continuing education credits are required every two years. reputed company is an Equal Opportunity Employer/Disability/Veteran Apply To This Job