Note: The job is a remote job and is open to candidates in USA. Alight Solutions is committed to empowering clients to build a healthier and more financially secure workforce. The Clinical Case Manager-RN will manage medical disability and accommodation cases, ensuring effective communication and support for employee-clients while maintaining high-quality standards in case management.
Responsibilities
- Serving as primary resource on team managing medical disability and accommodation cases
- Delivering case presentations to a panel, utilizing compelling communication, critical thinking, negotiation, holistic case analysis, and proactive case management skills
- Displaying a professional/corporate presence and presentation style with the ability to demonstrate excellent problem-solving skills when questioned on your case management plans
- Consulting on medical, behavioral health, and accommodation claims as needed, if within the scope of licensure and clinical expertise
- Supporting employee-clients in making informed decisions through patient advocacy aligned with Medical Disability Guidelines (MDG), employer benefit plans, and disability management regulations
- Acting as a liaison between all parties required in case management to facilitate continuous communication and consensus
- Serving as a liaison to the client's EAP, coordinate care, and encourage referrals to top behavioral health providers
- Providing documentation, feedback, and reports to diverse occupational populations with an underlying emphasis on returning medically able individuals to productive endeavor
- Managing caseload efficiently, organizing priorities, provides timely interventions, and maintains sensitivity to confidential records. Driving return to work process from beginning of case to closure
- Ensuring quality standards for case management are met; implement Alight’s continuous quality improvement process whenever efficiencies or quality standards are not met
Skills
- Be a Registered Nurse, Nurse Practitioner, or comparable license with experience, with working knowledge of disability, client processes, and case management
- Have minimum of 5 years medical advisory experience in occupational health, worker compensation, disability, health case management, or utilization review
- Have minimum of 2 years' experience as a Clinical Case Manager
- Demonstrate dedication to providing high quality customer service, using diplomacy, patient advocacy, and professional competency
- Foster interest in collaborating with compassionate clinicians and leaders who prioritize mutual care and the well-being of customers and employees
- Have relevant education and valid licensure
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
- Competitive total rewards package
- Continuing education & training
Company Overview