Nurse Disability Consultant
$72,900–$131,600 year
RemoteUnited States
Job Summary
Review and interpret medical information to clarify diagnoses, evaluate condition severity, and validate restrictions for disability claims. Act as a clinical resource for Group Protection specialists, providing guidance on medical management and estimating recovery duration during claim meetings. Collaborate with benefits professionals, physicians, and vocational coordinators to facilitate optimal claim resolution and return-to-work services. Identify pertinent clinical facts, make referrals to external resources like IMEs, and coordinate with providers to discuss complex medical issues. Maintain knowledge of industry trends and manage assigned caseloads while effectively communicating with claimants, employers, and healthcare stakeholders.
Required Qualifications
- 4 Year/Bachelor's degree or equivalent work experience (4 years of experience in lieu of Bachelor's) in Nursing
- Registered Nurse – Current, unrestricted license in the state where the position is located (upon hire certificates/licensures)
- Ability to read, analyze and interpret both internal and external documents such as general media/publications, professional journals, technical procedures, governmental regulations, policies, proposals, and standard operating procedures
- Confident, comfortable communicator with strong written and verbal communication skills
- Demonstrates clear, concise communication skills when interpreting medical information, documenting rationales for clinical opinions, clarifying restrictions/limitations, assisting with return to work and communicating with staff, mgmt. & other stakeholders
Desired Qualifications
- Associates or bachelor's degree in Nursing
- 3-5 years of nursing experience with preferred clinical nursing expertise in Emergency Room, Critical Care, Orthopedics, Coronary Care, or trauma
- Previous insurance industry experience
- Experience and/or proficiency with Disability Management (STD/LTD), Workers Compensation, Utilization Review and/or nurse case management
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.