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RN Clinical Consultant

🕒 Julho 28

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $68.970 - $113.310 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

💼 Consultor

🗣️🇺🇸🇬🇧 Inglês obrigatório

De onde vem esta vaga

Publicada na página de carreiras da Guardian Life, não em um site de vagas

Vista pela primeira vez pelo Remote Rocketship Julho 28

Ainda aberta no site da Guardian Life. Verificada 11 horas atrás.

Logo of Guardian Life

Guardian Life

5001 - 10000 funcionários

Fundada em 1860

🏥 Saúde

💼 Consultoria

🍽️ Alimentos e Bebidas

💰 Non Equity Assistance em 2016-08

Healthcare • Consulting • Food & Beverage

A Guardian Life é uma fornecedora abrangente de seguros, oferecendo uma ampla gama de produtos e serviços de seguro. Fundada há 160 anos, a empresa cresceu para atender mais de 12 milhões de pessoas diariamente. A Guardian Life se especializa em diversos planos de seguro, incluindo seguro de vida, invalidez, dental, visão, acidentes, doenças críticas e seguro de indenização hospitalar. A empresa também fornece soluções de força de trabalho, como benefícios em grupo, gerenciamento de ausência, licença remunerada e tecnologia de benefícios. Além disso, a Guardian Life oferece serviços de investimento, anuidades e planos de aposentadoria, apoiados por profissionais financeiros. A empresa está comprometida com responsabilidade social, equidade e inclusão, em parceria com organizações para promover o bem-estar e a saúde financeira. Com uma forte rede e profunda experiência na indústria, a Guardian Life continua sendo um parceiro confiável na proteção de indivíduos e famílias, enquanto os prepara para o futuro.

Descrição

• Review short-term and long-term disability claims to evaluate medical documentation, functional limitations, treatment progress, and expected recovery timelines • Analyze the impact of illness, injury, and treatment plans on claimants' occupational and daily living activities • Provide clinical recommendations supporting claim decisions • Collaborate with treating providers, claimants, case managers, and vocational rehabilitation specialists • Promote appropriate treatment plans, clarify medical information, and facilitate return-to-work opportunities • Educate claims professionals on medical conditions, treatment interventions, functional impairments, and disability-related outcomes • Coordinate independent medical reviews and assessments • Ensure quality, accuracy, and timely resolution of complex clinical questions • Manage a high-volume workload and prioritize customer needs • Resolve issues proactively and support continuous quality improvement initiatives • Provide ongoing mentoring and training to claims staff and peers • Report to the Clinical Team Leader, who reports to the Director, Clinical Services

🎯 Requisitos

• Active Registered Nurse (RN) license • Minimum of 5 years of direct acute patient care experience • Minimum of 3 years' experience as a clinical consultant in LTD and/or STD (LTD preferred) • Strong knowledge of medical conditions, treatments, and their impact on functional capacity and disability duration • Excellent verbal and written communication skills • Strong clinical assessment, analytical, critical thinking, and research skills • Ability to exercise independent judgment and make sound clinical decisions • Strong organizational and time-management skills with the ability to prioritize competing demands • Proficiency with Microsoft Office applications, including Word, Excel, and PowerPoint • Ability to adapt to changing business needs and work effectively in a dynamic environment • Bachelor of Science in Nursing (BSN) preferred • Certified Case Manager (CCM) designation preferred • Experience supporting disability, absence management, or insurance-based claims operations preferred • Knowledge of disability products, business rules, and claims procedures preferred • Experience with DCMS, Claim Facts, iProcess, or similar claims management systems preferred • Legally authorized to work in the United States without employer sponsorship now or in the future • Occasional travel of 0–10% of the time

🏖️ Benefícios

• Support and flexibility to achieve professional and personal goals • Skill-building opportunities • Leadership development opportunities • Philanthropic opportunities • Contemporary, supportive, flexible, and inclusive benefits and resources • Annual, sales, or other incentive compensation may be available • Reasonable accommodations for qualified individuals with disabilities • AI screening opt-out and alternative application process

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Desenvolvido por Lior Neu-ner. Adoraria receber seu feedback — entre em contato por DM ou pelo e-mail support@remoterocketship.com
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