Clinical Case Manager – Registered Nurse

🔥 16 hours ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

💵 $95k - $125k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Alight Solutions

WebsiteLinkedInAll Job Openings

10,000+ employees

🤝 B2B

🏥 Healthcare

☁️ SaaS

💰 $22.5M Post-IPO Secondary - Alight Solutions on 2023-08

B2B • Healthcare • SaaS

Alight Solutions is a leading benefits administration provider that delivers health, wealth, leave, and related HR point solutions for large organizations and their employees. The company helps manage benefits administration and human capital-related processes for enterprises, serving many of the world’s largest organizations and over 30 million people. Alight also emphasizes product and technology roles, corporate sustainability, total rewards, and a focus on transforming lives and organizations by maximizing health, financial and work wellbeing.

📋 Description

• Serve as the primary resource on a team managing medical disability and accommodation cases • Deliver case presentations to a panel using communication, critical thinking, negotiation, holistic case analysis, and proactive case management skills • Demonstrate a professional/corporate presence and presentation style • Consult on medical, behavioral health, and accommodation claims within the scope of licensure and clinical expertise • Support employee-clients in making informed decisions through patient advocacy aligned with Medical Disability Guidelines, employer benefit plans, and disability management regulations • Act as a liaison between all parties involved in case management to facilitate continuous communication and consensus • Liaise with the client's EAP, coordinate care, and encourage referrals to behavioral health providers • Provide documentation, feedback, and reports to diverse occupational populations • Support the return-to-work process from case beginning through closure • Manage caseload efficiently, organize priorities, provide timely interventions, and maintain confidentiality of records • Ensure case management quality standards are met and implement Alight's continuous quality improvement process when needed

🎯 Requirements

• Be a Registered Nurse, Nurse Practitioner, or comparable license with experience • Working knowledge of disability, client processes, and case management • 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 • Dedication to providing high quality customer service, using diplomacy, patient advocacy, and professional competency • Relevant education and valid licensure • Must have work authorization in the United States that does not now or in the future require visa sponsorship • Successful completion of a background check and any checks required for the position • Ability to participate in video interviews; camera-on culture • May require occasional travel to a physical office location

🏖️ 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 • Flexible working arrangements wherever possible • Reasonable accommodations for the hiring process • Competitive total rewards package • Continuing education and training • Bonus and/or incentive eligibility may apply depending on role and level