Job Summary
A business solutions company is seeking a Remote Appeals Behavioral Health Consultant II.
Individual must be able to fulfill the following responsibilities:
- Discuss behavioral health issues with health care providers as needed and documents outcomes of discussion
- Act as a behavioral health resource to claim professionals during claim meetings
- Contact claimants, employers, and health care providers to obtain pertinent information for clinical claims reviews
Position Requirements Include:
- Master’s degree in Human services related field
- Licensure in Clinical Psychology or Social Work (LICSW, LCMHC, LPC, LMFT, etc.)
- 3-5 years’ experience in a behavioral health setting including 1 year in claims, disability management (STD/LTD)
- Certified Case Management (CCM) designation