MetLife

RTH Clinician Group

Position Summary

At MetLife, we seek to make a meaningful impact on the lives of our customers and our communities. Global Operations (Global Ops) is a diverse team of engineers, developers, business analysts, claims analysts and project managers with the freedom to create innovative solutions to address core business challenges with MetLife. This role will work with claimants, physicians, employers, and customers to ensure strict adherence in determining functional abilities. Provides recommendations regarding claimants’ current/potential functional abilities and develops goal-focused return-to-work plans.

Job Responsibilities

Education, Technical Skills & Other Critical Requirement

Education

Bachelor’s degree (Medical) or diploma with a minimum of 15 years of education

Master’s degree in clinical psychology or social work.
If Registered Nurse will accept associate degree or higher with current RN state license

(Anyone from below)

·       Nursing + MS (Master of Science) in Psychology

·       Nursing + MS (Master of Science) in Psychiatry

·       Nursing + BA (Bachelor of Arts) in Psychology

·       MA (Master of Arts) in Psychology + PhD (Doctor of Philosophy) in Psychology

·       MPhil in Clinical Psychology

·       Licensed Clinical Psychologist-licensed in behavioral unit

·       Options -Licensure, social work, professional counselling

·       MS (Master of Science) in Psychology with 2 years of clinical experience

·       MS (Master of Science) in Psychiatry with 2 years of clinical experience

·       MA (Master of Arts) in Psychology with 2 years of clinical experience

·       MPhil in Clinical Psychology with 2 years of clinical experience

·       MBBS + Diploma/Degree in Psychiatry +2 years of Clinical experience

Experience 

(In Years)

Required

·       Current RN licensure

·       2 + years of experience as an RN with Clinical/Ops Experience (Specially in Physiatry/Psychology)

Preferred

·    2+ years Disability claims and/or clinical experience

·    Licensure in Clinical Psychology or Social Work & 2 years of experience in inpatient or intensive outpatient or outpatient therapy in a clinical setting 

·    Value added- Nursing background with behavior health (including MHU +BHU)

·    Disability claims experience

·    Preferred designations CCM (certified case management) and/or CDMS (certified disability management specialist).

Technical Skills/other skills

·       Computer navigation skills

·       Excellent Keyboarding and data entry speed

·       Knowledge about US Culture is preferred.

·       Excellent verbal/written communication skills – should be able to read, interpret business documents.

·       Excellent analytical and interpersonal skills 

·       Data gathering ability/ Eye for detail. 

·       Ability to comprehend and apply varied rules to multiple policies.

·       Teamwork/ Managing Self / Adaptability 

·       Ability to work successfully and perform detail-oriented work in production driven environment. 

·       Excellent organizational skills

·       Proven ability to meet quality and time standards.

·       Ability to work on routine/standardized transactions.

·       Possess strong knowledge of medical conditions, symptoms, and terminology.

Other Critical Requirements Like Voice/ Non-Voice for Insurance Ops

Blended

Complexity Scale: 9/T5C5