Nurse Case Manager

Medical Nurse Consultant:

The Nurse Consultant functions as a member of our Clinical Center of Excellence and serves as a clinical consult nurse to our non-clinical disability claim examiners. This role provides clinical expertise and guidance to claim examiners as they manage short- and long-term disability claims. Using MDGuidelines, which is the gold standard in clinical guidelines in this industry, the Nurse Consultant facilitates medically sound decisions and case navigation strategies thus ensuring disability claims are adjudicated appropriately and employees returning to work within medically reasonable time frames.

You will

• Serve as primary clinical resource on a team of claim examiner managing medical disability and accommodation cases.
• Provide consultation, feedback, and charting to assist claim examiners on understanding functional impairment related to employees’ jobs with an emphasis on returning medically able individuals back to work.
  • Consults on medical claims within their scope of licensure and clinical expertise.

You have

• Registered Nurse, Nurse Practitioner, or comparable license with experience, with working knowledge of disability, client processes, and case management.
• Minimum of 3 years clinical with preferred in occupational health field.
• Preferred experience in disability claims management or Workers Compensation claim management.
• Dedicated to providing high quality customer service, using diplomacy, patient advocacy, and professional competency.
• Interested in working with a committed group of like-minded clinicians and leaders who are kind and care about one another as well as the health and well-being of our customers and employees.
• Must show evidence of appropriate degree and US licensure.

Shift – Starts anytime from 5 pm – 9 pm

Experience – 3 years of experience

Qualification – Minimum of 3 years clinical with preferred in occupational health field.

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

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.

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