Alight
ClinicalCaseManager-RN
Neural analysis suggests this role is
optimal for Mid candidates.
“Clinical Case Manager-RN at Alight. Skills: clinical expertise, disability, case management, MDGuidelines, absence management, disability claims, RN, medical disability, accommodation cases. offer clinical expertise. act as a liaison in disability cases”
What You'll Achieve.
support medically sound decisions; ensure effective administration of absence and disability claims; delivering compassionate care to client employees; Driving return to work process from beginning of case to closure; Ensuring quality standards for case management are implement Alight’s continuous quality improvement process whenever efficiencies or quality standards are not met
Industry & Context.
critical thinking; holistic case analysis; excellent problem-solving skills; continuous quality improvement process
virtual interviews to be conducted on video, camera-on culture, may require occasional travel to one of our physical office locations, Authorization to work in the Employing Country, work authorization that does not, now or in the future, require sponsorship of a visa for employment authorization
What They're Looking For.
Must Have
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, degree as RN and valid licensure
What You'll Do.
offer clinical expertise
act as a liaison in disability cases
utilize MDGuidelines to support medically sound decisions
ensure effective administration of absence and disability claims
deliver compassionate care to client employees
Serve as primary resource on team managing medical disability and accommodation cases
Deliver case presentations to a panel
and accommodation claims as needed
Support employee-clients in making informed decisions
Act as a liaison between all parties required in case management
Serve as a liaison to the client's EAP
encourage referrals to top behavioral health providers
Provide documentation
and reports to diverse occupational populations
Manage caseload efficiently
provides timely interventions
maintains sensitivity to confidential records
Driving return to work process from beginning of case to closure
Ensuring quality standards for case management are implement Alight’s continuous quality improvement process whenever efficiencies or quality standards are not met
How You'll Work.
Team & Collaboration
Act as a liaison between all parties required in case management to facilitate continuous communication and consensus; Serve as a liaison to the client's EAP, coordinate care, and encourage referrals to top behavioral health providers
Communication Scope
compelling communication; professional/corporate presence and presentation style; excellent problem-solving skills when questioned on your case management plans; liaison between all parties required in case management to facilitate continuous communication and consensus
Process & Methodology
proactive case management skills, Manage caseload efficiently, organize priorities, provides timely interventions, Driving return to work process from beginning of case to closure
Full Job Description
Come make a difference and consider this unique opportunity to step into a rewarding career. Amazing Opportunity and Great Place to Work! **Our story** At Alight, we believe a company’s success starts with its people. At our core, we Champion People, help our colleagues Grow with Purpose and true to our name we encourage colleagues to “Be Alight.” We are passionate about connecting purpose with impact. Alight empowers clients to build a healthier and more financially secure workforce by unifying the benefits ecosystem across health, wealth, wellbeing, navigation, and absence management. **Our Benefits** With a comprehensive total rewards package, Alight offers programs and plans that support your mind, body, wallet, and life. Benefits include health, dental and vision coverages starting Day One. Additionally, Alight colleagues enjoy wellbeing programs, retirement plans with contribution matching, generous time off, parental leave, continuing education, and career growth opportunities – all within a thriving global organization. **Flexible Working** So that you can be your best at work and home, we consider flexible working arrangements wherever possible. Alight has been a leader in the flexible workspace and “Top 100 Company for Remote Jobs” 6 years in a row. **Great Place to Work** Thanks to the work of every colleague, Alight has received multiple awards of recognition including “Great Place to Work” for the past 7 years and Fortune’s “Best Companies to Work For.” To learn more about our company culture and awards [**Click Here.**](http://www.alight.com/about) If you, Champion People, seek to Grow with Purpose, and embody the meaning of Be Alight – We invite you to join our team! Learn more at [careers.alight.com](https://careers.alight.com/us/en). **About the Role** The Clinical Case Manager-RN will offer clinical expertise, act as a liaison in disability cases, and utilize MDGuidelines to support medically sound decisions. They will ensure effective administrati
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