Remote RN Consultant (Part Time)
Posted 2025-03-15Job Description: **Part time 20 hours per week
? *Fully virtual role - hours are flexible
? *Max payrate of ...
? *Current RN licensure required and required to be maintained throughout length of assignment
Required
? Moderate knowledge of computer systems - computer literacy.
? Strong written/verbal communication.
? Current RN licensure
? 4 years of experience as an RN
? Disability claims experience or worker's comp claims experience
? Possess strong knowledge of medical conditions, symptoms, and terminology.
Preferred
? BSN
? 7 years Disability claims and/or clinical experience.
? Preferred designations CCM (certified case management) and/or CDMS (certified disability management specialist).
Job Description:
Role Value Proposition:
At ***, we seek to make a meaningful impact in the lives of our customers and our communities. The Global Technology & Operations group (GTO) is a diverse team of engineers, developers, business analysts, claims analysts and project managers with the freedom to create innovative and solutions to address core business challenges with ***. This role will work with claimants, physicians, employers, and customers to ensure strict adherence in determining functional abilities.
Key Responsibilities: ? Provides professional medical, technical, consulting advice, and recommendations in support of claims evaluation, investigation and assessment for various claims-related departments, while managing assigned caseload of complex case applying specialized training and knowledge to the assessment of cases and acting as a resource on clinical and technical issues. ? Conducts complex research, review and analysis of medical records, treatment plans and claim information. ? Provides recommendations regarding claimants? current potential functional abilities. ? Engages claimants, healthcare providers, employers and customers to ensure strict adherence in determining functional abilities. ? Creates effective requests for medical information which focus on clarifying medical restrictions and limitations and their impact on work functionality. ? Performs other related duties as assigned or required
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