Clinical Case Manager – RN
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Job Description
Clinical Case Manager-RN role at Alight, offering clinical expertise in managing disability cases. Ensuring effective administration of claims and supporting client employees.
Responsibilities:
- Offer clinical expertise and act as a liaison in disability cases
- Utilize MDGuidelines to support medically sound decisions
- Ensure effective administration of absence and disability claims
- Deliver compassionate care to client employees
- Serve as primary resource on team managing medical disability and accommodation cases
- Deliver case presentations to a panel
- Display a professional/corporate presence and presentation style
- Consult on medical, behavioral health, and accommodation claims as needed
- Support employee-clients in making informed decisions through patient advocacy
- Act as a liaison to facilitate continuous communication
- Provide documentation, feedback, and reports to diverse occupational populations
- Manage caseload efficiently and maintain sensitivity to confidential records
- Ensure quality standards for case management are met.
Requirements:
- Be a Registered Nurse, Nurse Practitioner, or comparable license with experience
- Minimum of 5 years medical advisory experience in occupational health, worker compensation, disability, health case management, or utilization review
- Minimum of 2 years' experience as a Clinical Case Manager
- Demonstrate dedication to providing high quality customer service
- Foster interest in collaborating with compassionate clinicians and leaders who prioritize mutual care and the well-being of customers and employees
- Have relevant education and valid licensure.
Benefits:
- health, dental and vision coverages starting Day One
- wellbeing programs
- retirement plans with contribution matching
- generous time off
- parental leave
- continuing education
- career growth opportunities
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