Clinical Case Manager – Registered Nurse

This is a fully remote position, open to applicants in New Jersey.

📋 Description

• Act as the main resource on a team overseeing medical disability and accommodation cases.

• Present case reports to a panel utilizing communication, critical thinking, negotiation, comprehensive case analysis, and proactive case management skills.

• Exhibit a professional and corporate demeanor in presentation style.

• Provide consultation on medical, behavioral health, and accommodation claims within the limits of licensure and clinical expertise.

• Assist employee-clients in making knowledgeable decisions through patient advocacy in line with Medical Disability Guidelines, employer benefit plans, and disability management regulations.

• Serve as a liaison among all parties engaged in case management to ensure ongoing communication and agreement.

• Collaborate with the client's EAP, coordinate care, and promote referrals to behavioral health providers.

• Prepare documentation, feedback, and reports for diverse occupational groups.

• Facilitate the return-to-work process from the initiation of the case to its conclusion.

• Effectively manage caseloads, prioritize tasks, deliver timely interventions, and uphold the confidentiality of records.

• Ensure adherence to case management quality standards and apply Alight's continuous quality improvement process as necessary.

⛳️ Requirements

• Must be a Registered Nurse, Nurse Practitioner, or possess a comparable license with relevant experience.

• Have a solid understanding of disability, client processes, and case management.

• At least 5 years of medical advisory experience in occupational health, worker compensation, disability, health case management, or utilization review.

• Minimum of 2 years' experience in a Clinical Case Manager role.

• Commitment to delivering high-quality customer service, employing diplomacy, patient advocacy, and professional expertise.

• Relevant educational background and valid licensure required.

• Must possess work authorization in the United States that does not currently or will not in the future require visa sponsorship.

• Successful completion of a background check and any other checks necessary for the role.

• Capability to participate in video interviews; a camera-on culture is expected.

• Occasional travel to a physical office location may be required.

🏝️ Benefits

• Health, dental, and vision coverage starting on Day One.

• Wellbeing programs.

• Retirement plans with matching contributions.

• Generous time off policies.

• Parental leave.

• Opportunities for continuing education.

• Potential for career advancement.

• Flexible working arrangements when feasible.

• Reasonable accommodations provided during the hiring process.

• Competitive total rewards package.

• Ongoing education and training opportunities.

• Bonus and/or incentive eligibility may vary based on role and level.