RN Clinical Consultant

📋 Description

• Act as a clinical expert in the evaluation and investigation of medical information related to disability.

• Determine restrictions, limitations, and duration affecting functional capacity based on medical information.

• Work collaboratively with healthcare providers to help individuals secure the appropriate care.

• Evaluate long-term and/or short-term disability claims to understand how claimants’ medical conditions influence their functionality.

• Analyze the claimant’s current treatment plan and work together with healthcare providers and claimants.

• Initiate proactive communication with treating providers to discuss treatment plans and clarify treatment and return-to-work goals.

• Offer continuous training and mentoring to claims staff and colleagues concerning issues influenced by the nature of the injury or illness.

⛳️ Requirements

• At least 5 years of experience in direct patient care environments.

• Bachelor of Science in Nursing (BSN) and Certified Case Manager (CCM) are preferred.

• Exceptional verbal and written communication abilities, along with strong presentation skills.

• Capability to exercise independent and sound judgment in decision-making processes.

• Strong analytical, clinical, and information research capabilities, along with effective problem-solving skills.

• Excellent organizational and time management skills.

• Proven ability to multitask while managing constantly shifting priorities.

• In-depth understanding of medical conditions and their relevance to disability products.

• Familiarity with DCMS, Claim Facts, and iProcess is preferred.

🏝️ Benefits

• Health insurance.

• 401(k) matching.

• Paid time off.

• Flexible working arrangements.

• Opportunities for professional development.