Note: The job is a remote job and is open to candidates in USA. Alight Solutions is committed to empowering clients to build a healthier and more financially secure workforce. The Clinical Case Manager-RN will manage medical disability and accommodation cases, ensuring effective communication and support for employee-clients while maintaining high-quality standards in case management. Responsibilities • Serving as primary resource on team managing medical disability and accommodation cases • Delivering case presentations to a panel, utilizing compelling communication, critical thinking, negotiation, holistic case analysis, and proactive case management skills • Displaying a professional/corporate presence and presentation style with the ability to demonstrate excellent problem-solving skills when questioned on your case management plans • Consulting on medical, behavioral health, and accommodation claims as needed, if within the scope of licensure and clinical expertise • Supporting employee-clients in making informed decisions through patient advocacy aligned with Medical Disability Guidelines (MDG), employer benefit plans, and disability management regulations • Acting as a liaison between all parties required in case management to facilitate continuous communication and consensus • Serving as a liaison to the client's EAP, coordinate care, and encourage referrals to top behavioral health providers • Providing documentation, feedback, and reports to diverse occupational populations with an underlying emphasis on returning medically able individuals to productive endeavor • Managing caseload efficiently, organizing priorities, provides timely interventions, and maintains sensitivity to confidential records. Driving return to work process from beginning of case to closure • Ensuring quality standards for case management are met; implement Alight’s continuous quality improvement process whenever efficiencies or quality standards are not met Skills • Be a Registered Nurse, Nurse Practitioner, or comparable license with experience, with working knowledge of disability, client processes, and case management • Have minimum of 5 years medical advisory experience in occupational health, worker compensation, disability, health case management, or utilization review • Have minimum of 2 years' experience as a Clinical Case Manager • Demonstrate dedication to providing high quality customer service, using diplomacy, patient advocacy, and professional competency • Foster interest in collaborating with compassionate clinicians and leaders who prioritize mutual care and the well-being of customers and employees • Have relevant education and valid licensure Benefits • Health, dental and vision coverages starting Day One • Wellbeing programs • Retirement plans with contribution matching • Generous time off • Parental leave • Continuing education • Career growth opportunities • Flexible working arrangements wherever possible • Competitive total rewards package • Continuing education & training Company Overview • Alight Solutions is a cloud-based human capital technology company that offers HR and financial solutions. It was founded in 2017, and is headquartered in Chicago, Illinois, USA, with a workforce of 10001+ employees. Its website is https://www.alight.com.
Alight Solutions is a cloud-based human capital and HR technology company offering HR, benefits, and financial solutions to employers. Headquartered in Chicago, IL, it provides workforce and benefits administration services to organizations.
