RN Clinical Consultant

Role Overview

• Serve as a clinical resource for the investigation and assessment of medical information regarding disability
• Identify restrictions, limitations and duration impacting functional capacity based on medical data
• Collaborate with treating providers to assist individuals in obtaining appropriate care and ensure optimal treatment outcomes
• Review long-term and or short-term disability claims to assess the impact of claimants’ medical condition
• Conduct analysis of claimant’s current treatment plan and collaborate with health care providers
• Proactively contact treating providers to discuss treatment plans and clarify treatment and RTW goals
• Educate providers and claimants on the positive impact of return to work
• Provide ongoing training and mentoring to claims staff and peers regarding issues impacted by injury or illness
• Work collaboratively with internal vocational rehab specialists
• Manage workflow efficiently, organize priorities, provide timely intervention

Requirements

• A minimum of 5 years in direct patient care settings
• BSN and CCM preferred
• Excellent verbal and written communication skills and presentation skills
• Ability to exercise independent & sound judgment in decision making
• Strong problem-solving, analytical, clinical, and information research skills
• Excellent time management & organizational skills
• Demonstrated ability to multi-task and manage changing priorities based on customer service needs and departmental regulations
• Strong knowledge of medical conditions and how they apply to disability products
• Strong PC skills, including Microsoft Office applications (MS Word, Excel, PowerPoint)
• Knowledge of disability products, business rules and procedures, preferred
• Experience with DCMS, Claim Facts, and iProcess preferred.

Benefits

• annual, sales, or other incentive compensation
• contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues