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Sedgwick · 1 day ago

Clinical Behavioral Health Specialist

United States

Full-time

Remote

Mid, Senior Level

$75K/yr - $80K/yr

6+ years exp

Sedgwick is a leading claims management services company dedicated to helping people facing unexpected challenges. The Clinical Behavioral Health Specialist will identify and address psychosocial, medical, and employment issues within claims, working closely with claimants and clinical teams to facilitate resolution and improve outcomes.

BankingInsuranceRisk Management

Responsibilities

Identifies claimant's psychosocial issues/needs, related barriers, and post traumatic injury/incident

Assesses 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

Monitors ongoing progress toward these goals and objectives; implements plan through case management interventions

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

Travels as required

Qualification

Licensed Clinical Social Worker (LCSW)Clinical assessmentPsychosocial assessmentsMaster's degree in social workPatient advocacySpanish as a second languageCommunication skillsTeam collaboration

Required

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

Solid clinical knowledge of psychiatric disease processes including familiarity with DSM-5 guidelines

Preferred

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.

A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.