Behavioral Health Specialist

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Date: Jan 27, 2021

Location: Remote, PA, US

Company: New York Life Insurance Co

A career at New York Life offers many opportunities. To be part of a growing and successful business. To reach your full potential, whatever your specialty. Above all, to make a difference in the world by helping people achieve financial security. It’s a career journey you can be proud of, and you’ll find plenty of support along the way. Our development programs range from skill-building to management training, and we value our diverse and inclusive workplace where all voices can be heard. Recognized as one of Fortune’s World’s Most Admired Companies, New York Life is committed to improving local communities through a culture of employee giving and service, supported by our Foundation. It all adds up to a rewarding career at a company where doing right by our customers is part of who we are, as a mutual company without outside shareholders. We invite you to bring your talents to New York Life, so we can continue to help families and businesses “Be Good At Life.” To learn more, please visit LinkedIn, our Newsroom and the Careers page of www.NewYorkLife.com.

 

Location: Remote

 

Role Summary:

 

The Behavioral Health Specialist is a professional that is relied upon by the Claims Manager to assist with review of complex behavioral health cases. This assistance may include partnering with a multidisciplinary team of other Behavioral Health Specialists, Nurses, Physicians, and/or Vocational Counselors. This may also include building a rapport and gathering pertinent information from a Customer and/or treating Providers.  

 

Primary Responsibilities:

  • Discussions of disability claims with Claim Managers
  • Provide education and background to Claim Managers related to diagnosis and treatment
  • Calls and/or written communication to customers and health care providers
  • Frequent communication throughout the day with internal business partners via telephone, email, and/or instant messaging
  • Supporting Group Benefit Solutions initiatives for quality improvement, change, growth, and excellence in business practices
  • Integrating the review of medical records supplied by the provider with the customer perspective
  • Facilitating relations with and between Claim Managers, business partners, and customers to develop claim strategies and facilitate a safe return to work
  • Collaborating with health care providers and disability customers to promote accountability for the appropriateness of the treatment plan and length of disability

 

Qualifications:

  • Licensed Registered Nurse, Licensed Professional Counselor, Licensed Social Worker (current and unencumbered)
  • A minimum of 3+ years clinical experience with strong clinical background in Psychiatric care
  • Provides licensure in state of residency and state of employment
  • License must be current and without standing or pending censure by any state
  • Strong skills in medical assessment/medical record review
  • CCM or Case Management experience preferred

 

Training & Development:

Behavioral Health Specialist’s will undergo a comprehensive paid training program. Coaching and feedback is provided to help you gain the necessary skills to be successful.

 

Shift Information:

This is a full-time work from home position Monday through Friday. Candidates must be available to work 8 hour shifts from 8am-430pm or 830am-5pm.  

 

Salary:

Competitive full-time base salary, plus target bonus if eligible based on performance.

 

Benefits:

Paid Vacation, Health Care, 401K match, Tuition Assistance, Flexible Spending Accounts.

 

Career Opportunities:

New York Life offers a variety of corporate opportunities including management, quality control, training, sales, underwriting and claims.

 

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EOE M/F/D/V

 

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Job Requisition ID: 83164 


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