RN Clinical Consultant

🕒 July 6

🏖️ New Jersey, Pennsylvania, +1 more states – Remote

🏖️ New Jersey – Remote 🔔 Pennsylvania – Remote 🤠 Texas – Remote

💵 $70.3k - $115.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💼 Consultant

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Guardian Life

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1860

💸 Finance

🧘 Wellness

💰 Non Equity Assistance on 2016-08

Finance • Insurance • Wellness

Guardian Life is a comprehensive insurance provider offering a wide range of insurance products and services. Founded 160 years ago, the company has grown to serve over 12 million people daily. Guardian Life specializes in various insurance plans, including life, disability, dental, vision, accident, critical illness, and hospital indemnity insurance. The company also provides workforce solutions such as group benefits, absence management, paid leave, and benefits technology. Furthermore, Guardian Life offers investment services, annuities, and retirement plans, supported by financial professionals. The firm is committed to social responsibility, equity, and inclusion, partnering with organizations to foster well-being and financial health. With a strong network and deep industry experience, Guardian Life continues to be a reliable partner in protecting individuals and families while preparing them for the future.

📋 Description

• Serve as a clinical resource for the investigation and assessment of medical information regarding disability • Identify restrictions, limitations and duration impacting functional capacity based on medical data • Collaborate with treating providers to assist individuals in obtaining appropriate care and ensure optimal treatment outcomes • Review long-term and or short-term disability claims to assess the impact of claimants’ medical condition • Conduct analysis of claimant’s current treatment plan and collaborate with health care providers • Proactively contact treating providers to discuss treatment plans and clarify treatment and RTW goals • Educate providers and claimants on the positive impact of return to work • Provide ongoing training and mentoring to claims staff and peers regarding issues impacted by injury or illness • Work collaboratively with internal vocational rehab specialists • Manage workflow efficiently, organize priorities, provide timely intervention

🎯 Requirements

• A minimum of 5 years in direct patient care settings • BSN and CCM preferred • Excellent verbal and written communication skills and presentation skills • Ability to exercise independent & sound judgment in decision making • Strong problem-solving, analytical, clinical, and information research skills • Excellent time management & organizational skills • Demonstrated ability to multi-task and manage changing priorities based on customer service needs and departmental regulations • Strong knowledge of medical conditions and how they apply to disability products • Strong PC skills, including Microsoft Office applications (MS Word, Excel, PowerPoint) • Knowledge of disability products, business rules and procedures, preferred • Experience with DCMS, Claim Facts, and iProcess preferred.

🏖️ Benefits

• annual, sales, or other incentive compensation • contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues