Mental Health Case Mgr
About the Job
Employers count on The Standard (www.standard-ny.com) to meet their employees’ needs for group life, disability and dental insurance products and services. But they also know we go beyond simply meeting needs. We help people achieve financial well-being and peace of mind. If you want to make a positive difference for customers, consider pursuing your career dreams with us.
Assess claimants’ mental health conditions, diagnostics and ongoing treatment to determine functional capacity levels as well as the appropriateness of care. Collaborate with treating providers and physician consultants to promote suitable care plans directed toward return to work. Communicate with claimants, treating and consulting providers, employers, benefits personnel and community resources or others in order to establish goals and methods for return to work and remove barriers to receiving necessary services. Coordinate claim prevention, intervention and return to work programs for employers.
Note: Relocation Assistance is not provided for this position. Local candidates preferred.
Evaluate medical history, treatment and test results from claimant interviews, file reviews and consultations with providers. Provide assessments of claimants' functional capacity and their levels and expected durations of impairment. Identify and resolve stated limitations inconsistent with medical documentation by contacting treating or consulting providers, or recommending action plan for execution by benefits personnel. Assess medical records to determine if claim is caused or contributed to by a limited or excluded medical condition. Participate in developing initial claim strategies and action plans (including initial 3-point contact) with Benefits Analysts and Vocational Case Managers. Assess ongoing adequacy and appropriateness of treatment and level of care. Work in conjunction with vocational and benefits staff to assess claimants' psychosocial, environmental, and financial status.
Implement and coordinate case management activities on continuing claims that bring claimants to maximum medical function or return to work. Monitor, update and revise plans as necessary and communicate with benefits staff as to impact on claim duration. Advocate on behalf of the claimant for appropriate services and effective treatment to achieve the goals of attaining maximum medical improvement and successful return to work. Communicate with claimants, their families, employers, medical treatment providers and organizations, rehabilitation counselors and Workers' Compensation Providers to ensure understanding of and cooperation with the recommended treatment plans and the goal of returning to work.
Provide claim prevention services by working with employers to evaluate their organizations' trends in behavioral health disabilities. Coordinate site visits and assessments; advise on educational programs for employee groups. Collaborate with vocational and benefits staff to recommend, develop and implement intervention and return to work programs and practices for employers for behavioral health claims.
Develop and conduct medical education and training for division claims personnel.
Education: Master’s Degree in an appropriate discipline – MSW, MMFT, MA or MS in Counseling or Psychology, or a BS in Nursing.
Experience: Minimum of four years hospital and/or clinical experience in mental health care/counseling/social work. Or minimum of four years experience as an RN with a clinical psychiatric specialization.
Professional certification required: Current mental health counseling license preferred (i.e. LCSW, LPC or LMFT), or current RN license. A CCM or CPDM designation or ability to obtain such designation within two years of hire.
Standard Insurance Company, The Standard Life Insurance Company of New York, Standard Retirement Services, Inc., StanCorp Equities, Inc. and StanCorp Investment Advisers, Inc., marketed as The Standard, are Affirmative Action/Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, religion, color, sex, national origin, gender, sexual orientation, age, disability, or veteran status or any other condition protected by federal, state or local law. The Standard offers a drug and alcohol free work environment where possession, manufacture, transfer, offer, use of or being impaired by an illegal substance while on Standard property, or in other cases which the company believes might affect operations, safety or reputation of the company is prohibited. The Standard requires a criminal background investigation, drug test, employment, education and licensing verification as a condition of employment. All employees of The Standard must be bondable.
For more information regarding your Equal Employment Opportunity applicant rights, click here.
Individuals with disabilities who need assistance or accommodation with the application process should contact HR Direct at 971-321-7871. This number is only for the use of individuals with disabilities who need accommodation with the application process. General inquiries about application status will not be addressed.