Nurse Consultant (100% Remote)

Job Details

Pay range:

$70-$75

Job Description:

**Part time 20 hours per week

**Fully virtual role - hours are flexible

**Current RN licensure required and required to be maintained throughout length of assignment

Required

Moderate knowledge of computer systems - computer literacy.

Strong written/verbal communication.

Current RN licensure

4+ years of experience as an RN

Disability claims experience or worker's comp claims experience

Possess strong knowledge of medical conditions, symptoms, and terminology.

Preferred

BSN

7+ years Disability claims and/or clinical experience.

Preferred designations CCM (certified case management) and/or CDMS (certified disability management specialist).

Job Description:

Role Value Proposition:

At Client's.we seek to make a meaningful impact in the lives of our customers and our communities. The Global Technology & Operations group (GTO) is a diverse team of engineers, developers, business analysts, claims analysts and project managers with the freedom to create innovative and solutions to address core business challenges with ***. This role will work with claimants, physicians, employers, and customers to ensure strict adherence in determining functional abilities.

Key Responsibilities:

Provides professional medical, technical, consulting advice, and recommendations in support of claims evaluation, investigation and assessment for various claims-related departments, while managing assigned caseload of complex case applying specialized training and knowledge to the assessment of cases and acting as a resource on clinical and technical issues.

Conducts complex research, review and analysis of medical records, treatment plans and claim information.

Provides recommendations regarding claimants

current potential functional abilities.

Engages claimants, healthcare providers, employers and customers to ensure strict adherence in determining functional abilities.

Creates effective requests for medical information which focus on clarifying medical restrictions and limitations and their impact on work functionality.

Performs other related duties as assigned or required

 Axelon

 06/01/2024

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