Remote RN Consultant (Part Time)

Job 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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