Voya
SrClinicalConsultant
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“Sr Clinical Consultant at Voya. Skills: clinical expertise, reviewing medical information, analyzing medical information, interpreting medical information, functional capacity assessment, treatment plan clarification, recovery and return-to-work strategies, communication skills, analytical and critical thinking abilities. reviewing, analyzing, and interpreting complex medical information to support disability claims. assessing functional capacity”
What You'll Achieve.
support disability claims; assess functional capacity; clarify treatment plans; support recovery; support return-to-work strategies; delivering objective, evidence-based recommendations; accurate functional assessments; enhance medical understanding; support appropriate claim management
Industry & Context.
analytical and critical thinking abilities; Critical Thinking
What They're Looking For.
Must Have
Associate Degree in Nursing, active RN license
Nice to Have
bachelor’s degree, 3+ years of clinical experience, Previous Disability medical case management experience
What You'll Do.
and interpreting complex medical information to support disability claims
assessing functional capacity
clarifying treatment plans
supporting recovery and return-to-work strategies
Apply clinical expertise to assess and analyze claim file information
evidence-based recommendations
Communicate complex medical issues clearly and concisely
both verbally and in writing
multidisciplinary team environment
Collaborate with internal partners to identify and obtain pertinent medical documentation necessary for accurate functional assessments
Partner with healthcare providers and claimants to clarify diagnoses
and return-to-work expectations
Provide coaching and consultation to non-clinical staff to enhance medical understanding and support appropriate claim management
Operate with a sense of urgency and adaptability to meet evolving business needs
Demonstrate time management by effectively prioritizing tasks
completing reviews promptly
and ensuring timely follow-up on all case activities
Maintain required professional certifications
stay current with medical trends
and complete ongoing educational requirements
How You'll Work.
Team & Collaboration
collaborates closely with claims professionals, healthcare providers, and internal partners; Communicate complex medical issues clearly and concisely, both verbally and in writing, within a fast-paced, multidisciplinary team environment; Collaborate with internal partners to identify and obtain pertinent medical documentation necessary for accurate functional assessments; Partner with healthcare providers and claimants to clarify diagnoses, treatment plans, anticipated outcomes, and return-to-work expectations; Provide coaching and consultation to non-clinical staff to enhance medical understanding and support appropriate claim management; Team Mentality
Communication Scope
Communicate complex medical issues clearly and concisely, both verbally and in writing; Excellent communication skills
Process & Methodology
time management, prioritizing tasks, completing reviews promptly, ensuring timely follow-up on all case activities
Full Job Description
****_Together we fight for everyone’s opportunity for a better financial future._**** We will do this together — with customers, partners and colleagues. We will fight for others, not against: We will stand up for and champion everyone’s access to opportunities. The status quo is not good enough … we believe every individual and every community deserves access to financial opportunities. We are determined to support both individuals and communities in reaching a better financial future. We know that reaching this future depends on our actions today. Like our Purpose Statement, Voya believes in being bold and committed to action. We are committed to a work environment where the differences that we are born with — and those we acquire throughout our lives — are understood, valued and intentionally pursued. We believe that our employees own our culture and have a responsibility to foster an environment where we all feel comfortable bringing our whole selves to work. Purposefully bringing our differences together to positively influence our culture, serve our clients and enrich our communities is essential to our vision. ****Are you ready to join a company with a strong purpose and a winning culture? Start your Voyage – ********Apply Now**** **Profile Summary:** The Sr Clinical Case Manager is responsible for reviewing, analyzing, and interpreting complex medical information to support disability claims. This role collaborates closely with claims professionals, healthcare providers, and internal partners to assess functional capacity, clarify treatment plans, and support recovery and return-to-work strategies. **Profile Description:** * Apply clinical expertise to assess and analyze claim file information, delivering objective, evidence-based recommendations. * Communicate complex medical issues clearly and concisely, both verbally and in writing, within a fast-paced, multidisciplinary team environment. * Collaborate with internal partners to identify and obtain pertine
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