Clinician

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🔥 5 minutes ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

💵 $70.5k - $94.4k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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NJM Insurance Group

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1913

Insurance

NJM Insurance Group is a well-established insurance provider offering a range of personal and commercial insurance products. Their services include auto, homeowners, renters, condo, commercial auto, and business insurance, with a focus on exceptional customer satisfaction and claims experience. NJM is recognized for its outstanding auto claims experience by J. D. Power and is committed to serving customers in states like Connecticut, Maryland, New Jersey, Ohio, and Pennsylvania. The company prides itself on being straightforward and customer-focused, without jingles or mascots, offering trusted insurance solutions and multiple discount opportunities for various policies.

📋 Description

• Performs behavioral health duties using established guidelines to ensure appropriate level of care • Assesses patient's behavioral health clinical need against established guidelines • Evaluates necessity, appropriateness, and efficiency of behavioral health medical services • Coordinates and assists in implementation of plan for members • Monitors and coordinates services rendered outside of the network • Advocates for the member/family among various sites to coordinate resource utilization and evaluation of services provided • Encourages member participation and compliance in the behavioral health case/disease management program efforts • Documents accurately and comprehensively based on the standards of practice

🎯 Requirements

• High School Diploma/GED required • Bachelor degree preferred or relevant experience in lieu of degree • Minimum of two (2) years behavioral health clinical experience • Active Unrestricted NJ LCSW, LMFT, LPC or RN License • Proficiency in the use of personal computers and supporting software in a Windows based environment • Knowledge in the use of intranet and internet applications • Working knowledge of case/care management principles • Working knowledge of principles of utilization management • Basic knowledge of health care contracts and benefit eligibility requirements • Knowledge of hospital structures and payment systems

🏖️ Benefits

• Comprehensive health benefits (Medical/Dental/Vision) • Retirement Plans • Generous PTO • Incentive Plans • Wellness Programs • Paid Volunteer Time Off • Tuition Reimbursement