RN Clinical Consultant

🕒 July 28

🇺🇸 United States – Remote

💵 $69k - $113.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💼 Consultant

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 33%

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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Guardian Life

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1860

🏥 Healthcare

💼 Consulting

🍽️ Food & Beverage

💰 Non Equity Assistance on 2016-08

Healthcare • Consulting • Food & Beverage

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

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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