Nurse Case Manager

🔥 0 minutes ago

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Alight Solutions

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2016

🏢 Enterprise

👥 HR Tech

☁️ SaaS

Enterprise • HR Tech • SaaS

Alight Solutions is a leading cloud-based human capital technology and services provider serving some of the world's largest organizations and over 35 million people and dependents. The company focuses on transforming lives and organizations by enhancing health, financial, and work wellbeing. Alight offers a wide range of services, including customer care, technology roles, consulting, application services, and business support, with opportunities for virtual or work-from-home positions. The company emphasizes corporate social responsibility and providing a positive impact on clients, colleagues, and communities.

📋 Description

• Serve as primary clinical resource on a team of claim examiners managing medical disability and accommodation cases • Provide consultation, feedback, and charting for claim examiners • Assist claim examiners in understanding functional impairment related to employees’ jobs • Consult on medical claims within scope of licensure and clinical expertise • Facilitate medically sound decisions and case navigation strategies • Ensure disability claims are adjudicated appropriately and with reasonable time frames for returning employees to work

🎯 Requirements

• Registered Nurse, Nurse Practitioner, or comparable license with experience • Minimum of 3 years clinical experience, preferably in occupational health field • Preferred experience in disability claims management or Workers Compensation claim management • Excellent analytical and problem-solving skills • Ability to communicate claim decisions and contract language clearly • Dedicated to providing high quality customer service • Must show evidence of appropriate degree • Work Experience of 4 years + • Ability to work evening/night shifts • Regulatory and Compliance experience a plus

🏖️ Benefits

• Medical coverage options • Wellbeing and support programs • Retirement plans • Vacation and sick leave • Maternity, paternity & adoption leave • Continuing education and training • Several voluntary benefit options