Illinois, IL, United States of America
12 hours ago
Behavioral Health Clinical Case Manager-Remote

Amazing Opportunity and Great Place to Work!

Do you have advanced experience in Behavioral Health absence management?

Our story

At Alight, we believe a company’s success starts with its people. At our core, we Champion People, help our colleagues Grow with Purpose and true to our name we encourage colleagues to “Be Alight.”

Our Values:

Champion People – be empathetic and help create a place where everyone belongs.

Grow with purpose – Be inspired by our higher calling of improving lives.

Be Alight – act with integrity, be real and empower others.

It’s why we’re so driven to connect passion with purpose. Alight helps clients gain a benefits advantage while building a healthy and financially secure workforce by unifying the benefits ecosystem across health, wealth, wellbeing, absence management and navigation.

With a comprehensive total rewards package, continuing education and training, and tremendous potential with a growing global organization, Alight is the perfect place to put your passion to work.

Join our team if you Champion People, want to Grow with Purpose through acting with integrity and if you embody the meaning of Be Alight.

Learn more at careers.alight.com. 

About the Role

The Behavioral Health Case Manager provides clinical oversight to behavioral health disability and leave of absence claims. They recommend clear duration of psychiatric conditions and limitations impacting disability. Assists the case manager in determining claim liability and proactive return to work plans. As the subject matter expert on these files, the BHCCM reviews claim decisions and is consulted on a variety of case management initiatives including medical disability durations, return to work obstacles and/or return to work planning and clinical guidance/education to internal stakeholders. The BHCCM recognizes the importance of work, its financial, social, and psychological implications, and views return to work as an essential goal for employees.

Responsibilities

Assessing the impact of clinical conditions on functional limitations by reviewing employee reports and medical evidence. Evaluate and analyze the reports to determine the effect of clinical conditions on functional limitations.Applying current clinical knowledge regarding diagnosis, treatment, prognosis, and functional impairment in context of essential work functions.Participating in early assessment of clinical symptoms, functional impairment, psychosocial dynamics, and return-to-work (RTW) opportunities.Utilizing clinical expertise to assess recovery time. Determining Medical Disability Guidelines, diagnosis, illness severity, treatment plans, and functional impairment's impact on job demands.Ensuring quality standards for clinical case management and consultations are consistently met.Upholding commitment to ethical business practices. Following through on commitments by continuously striving to provide quality products and customer service.Leveraging your clinical expertise by educating and guiding disability case managers and other internal/external stakeholders throughout the claim process.Serving as primary resource on team managing behavioral health disability and accommodation cases.Applying your clinical knowledge to ascertain probable optimal recovery duration based on Medical Disability Guidelines, diagnosis, severity of illness, co-morbid conditions, treatment plans, and functional impairment implications on occupational requirements.Ensuring quality standards for clinical case management/consultation are consistently met.Providing support to peers as needed.

Requirements

Experience as Psychiatric RN, Mental Health Counselor, Clinical Social Worker, or Psychologist.LPC, LCSW, LMSW, or RN with specialty in behavioral health, with a valid current state license (unrestricted).Demonstrate knowledge of medical and clinical documentation related to functional impairment.Experience in the mentoring and advising of claim managers on effective behavioral health clinical case management strategy.Case management experience in behavioral health and disability/absence management.Work experience with the Medical Disability Guidelines or Utilization Review Treatment Guidelines.Have certification in related field, e.g., CDMS, ADMS or CCM.Proficiency in multiple computer systems required. Excellent written and verbal communication skills.Ability to work collaboratively with multiple professional disciplines and diverse populations. Ability to exercise independent & sound judgement in decision-making. Excellent organizational and time management skills.Must have ability to multi-task with the ability to manage work based on continually changing priorities.

Alight requires all virtual interviews to be conducted on video.

Flexible Working

So that you can be your best at work and home, we consider flexible working arrangements wherever possible.  Alight has been a leader in the flexible workspace and “Top 100 Company for Remote Jobs” 5 years in a row.

Benefits

We offer programs and plans for a healthy mind, body, wallet and life because it’s important our benefits care for the whole person. Options include a variety of health coverage options, wellbeing and support programs, retirement, vacation and sick leave, maternity, paternity & adoption leave, continuing education and training as well as several voluntary benefit options. 

By applying for a position with Alight, you understand that, should you be made an offer, it will be contingent on your undergoing and successfully completing a background check consistent with Alight’s employment policies. Background checks may include some or all the following based on the nature of the position: SSN/SIN validation, education verification, employment verification, and criminal check, search against global sanctions and government watch lists, credit check, and/or drug test.  You will be notified during the hiring process which checks are required by the position.

Our commitment to Inclusion 

We celebrate differences and believe in fostering an environment where everyone feels valued, respected, and supported. We know that diverse teams are stronger, more innovative, and more successful. 

At Alight, we welcome and embrace all individuals, regardless of their background, and are dedicated to creating a culture that enables every employee to thrive. Join us in building a brighter, more inclusive future. 

As part of this commitment, Alight will ensure that persons with disabilities are provided reasonable accommodations for the hiring process. If reasonable accommodation is needed, please contact alightcareers@alight.com.  

Authorization to work in the Employing Country

Applicants for employment in the country in which they are applying (Employing Country) must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the Employing Country and with Alight.

Note, this job description does not restrict management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of Alight business units.

We offer you a competitive total rewards package, continuing education & training, and tremendous potential with a growing worldwide organization.

Salary Pay Range

Minimum :

88,200.00 USD

Maximum :

97,020.00 USD

Pay Transparency Statement: Alight considers a variety of factors in determining whether to extend an offer of employment and in setting the appropriate compensation level, including, but not limited to, a candidate’s experience, education, certification/credentials, market data, internal equity, and geography. Alight makes these decisions on an individualized, non-discriminatory basis. Bonus and/or incentive eligibility are determined by role and level. Alight also offers a comprehensive benefits package; for specific details on our benefits package, please visit: Wellbeing and Benefits Selector Page - Alight


DISCLAIMER:


Nothing in this job description restricts management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of Alight business units.

Alight Solutions provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, pregnancy, childbirth or related medical condition, veteran, marital, parental, citizenship, or domestic partner status, or any other status protected by applicable national, federal, state or local law. Alight Solutions is committed to a diverse workforce and is an affirmative action employer.
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