[Hiring] Behavioral Health Clinician @Aflac, Incorporated

Role Description

We are the duck. We develop and empower our people, cultivate relationships, give back to our community, and celebrate every success along the way. We do it all… The Aflac Way.

This role is a remote role. This means you will be expected to work from your home, within the continental US. If the role is remote, there may be occasions that you are requested to come to the office based on business need. Any requests to come to the office would be communicated with you in advance.

What does it take to be successful at Aflac?

• Acting with Integrity
• Communicating Effectively
• Pursuing Self-Development
• Serving Customers
• Supporting Change
• Supporting Organizational Goals
• Working with Diverse Populations

What does it take to be successful in this role?

• Psychiatric experience/knowledge
• Solid investigative and analytical skills
• Solid customer service skills
• Solid written and oral communication skills
• Solid organizational and time management skills
• Ability to analyze behavioral health records in the context of functional capacity
• Maintain active licensing and profession credentials as required
• Model behaviors that demonstrate commitment to corporate values
• Educate team members and business partners on area of clinical expertise
• Provide guidance and support for team members

Qualifications

• Bachelor's Degree in healthcare or a related field, e.g. nursing
• Master's Degree in Behavioral Health area or related field, e.g., MSW, MA or MS in counseling
• A minimum of 3 years of experience in the field of behavioral health working with behavioral health patients
• Active clinical license e.g., LCSW, LMHC, LPC, RN etc. or equivalent clinical license
• Or an equivalent combination of education and experience

Requirements

• 2 or more years of experience in disability management industry managing claims (preferred)
• CDMS or CCM designations (preferred)
• Utilization review experience and/or experience using specific behavioral health criteria or protocols (preferred)
• Travel ≤ 10%

Principal Duties & Responsibilities

• Serves as clinical co-manager on behavioral health claims from inception of STD claims, and provides activities requiring clinical expertise.
• Reviews and evaluates disability claim to determine level of functioning based on knowledge of behavioral health conditions.
• Investigates and resolves inconsistencies in the level of cognitive, emotional, or behavioral functioning.
• Coordinates a strategy to determine true level of functional capacity.
• Reviews claims from a behavioral health perspective.
• Documents impairment, functional status, and assessment.
• Acts as behavioral health consultant to the appeals business unit.
• Acts as resource for claims and clinical staff when handling claimants noted to be threatening harm to themselves or others.
• Facilitates referrals to collateral internal and external services.
• Monitors response to care and advocates for optimal care when applicable.
• Coordinates and monitors quality of behavioral health IME's.
• Coordinates internal physician consultant referrals.
• Identifies barriers for employees to return-to-work.
• Communicates effectively with case managers, employers, employees, and health care providers.
• Strategizes with claimant, treating providers, and employer on possible accommodations or restriction utilization.
• Manages daily relations with assigned accounts and key contacts.
• Visits clients for new account implementation and maintenance of existing accounts as required.
• Attends and/or presents clinical lectures designed to educate claim staff as requested.
• Anticipates, recognizes, and responds timely to needs of customers.
• Supports implementation of customer initiatives to drive best outcomes.
• Reviews assigned customer cases, prioritizes workload, and interprets established policies.
• Provides status updates on co-management plans.
• Resolves technical problems by referring to policies, procedures, and specifications.
• Collects data and prepares clinical reviews.
• Provides detailed procedural advice to internal clients.
• Inputs relevant data into established systems accurately.
• Performs additional job duties as needed.

Benefits

• The salary range for this job is $75,000 to $90,000.
• Medical, dental, and vision coverage.
• Prescription drug coverage.
• Health care flexible spending.
• Dependent care flexible spending.
• Aflac supplemental policies (Accident, Cancer, Critical Illness and Hospital Indemnity offered at no costs to employee).
• 401(k) plans.
• Annual bonuses.
• Opportunity to purchase company stock.
• 11 paid holidays.
• Up to 20 days PTO to be used for any reason.
• State-mandated sick leave (if eligible).
• Compliance with all applicable leave laws.