Clinical Case Manager/RN- Virtual
Amazing Opportunity and Great Place to Work!
Are you looking for a new opportunity with a goal-oriented team?
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.
Our Values:
Champion People be empathetic and help create a place where everyone belongs.
Grow with purpose Be inspired by our higher calling of improving lives.
Be Alight act with integrity, be real and empower others.
It s why we re so driven to connect passion with purpose. Alight helps clients gain a benefits advantage while building a healthy and financially secure workforce by unifying the benefits ecosystem across health, wealth, wellbeing, absence management and navigation.
With a comprehensive total rewards package, continuing education and training, and tremendous potential with a growing global organization, Alight is the perfect place to put your passion to work.
Join our team if you Champion People, want to Grow with Purpose through acting with integrity and if you embody the meaning of Be Alight.
Learn more at careers.alight.com .
About The Role
This role will provide clinical expertise and serve as a critical link between all parties involved in disability cases. This role will facilitate medically sound decisions, ensure absence and disability claims are administered effectively, and deliver compassionate care.
Responsibilities
Serving as primary resource on team managing medical disability and accommodation cases.
Presenting cases to a panel that includes physicians in weekly round table/touch point meetings.
Displaying a professional/corporate presence and presentation style. Additionally, demonstrate excellent problem-solving skills when questioned on your case management plans.
Consulting on medical, behavioral health, and accommodation claims, if within the scope of licensure and clinical expertise.
Assisting in making informed choices via patient advocacy in alignment with Medical Disability Guidelines and employer-based benefit plans and/or laws.
Acting as a liaison between all parties required in case management to facilitate continuous communication and consensus.
Providing documentation, feedback, and reports to diverse occupational populations with an underlying emphasis on returning medically able individuals to productive endeavor.
Managing caseload efficiently, organizes priorities, provides timely intervention and maintains sensitivity to confidential records.
Ensuring quality standards for case management are met and driving return to work process.
Requirements
Be a Registered Nurse, Nurse Practitioner, or possess a comparable license with experience.
5+ years medical advisory experience in occupational health, worker compensation, disability, health case management, or utilization review.
2+ years as a Clinical Case Manager. Additionally, possess a working knowledge of disability, client processes, and case management.
Demonstrate a dedication to providing high quality customer service, using diplomacy, patient advocacy, and professional competency.
Be available for occasional escalations outside of normal business hours (max 8-10 occasions/year).
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 5 years in a row.
Benefits
We offer programs and plans for a healthy mind, body, wallet and life because it s important our benefits care for the whole person. Options include a variety of health coverage options, wellbeing and support programs, retirement, vacation and sick leave, maternity, paternity & adoption leave, continuing education and training as well as a number of voluntary benefit options.
By applying for a position with Alight, you understand that, should you be made an offer, it will be contingent on your undergoing and successfully completing a background check consistent with Alight s employment policies. Background checks may include some or all the following based on the nature of the position: SSN/SIN validation, education verification, employment verification, and criminal check, search against global sanctions and government watch lists, credit check, and/or drug test. You will be notified during the hiring process which checks are required by the position.
Our commitment to Diversity and Inclusion
Alight is committed to diversity, equity, and inclusion. We celebrate differences and believe in fostering an environment where everyone feels valued, respected, and supported. We know that diverse teams are stronger, more innovative, and more successful.
At Alight, we welcome and embrace all individuals, regardless of their background, and are dedicated to creating a culture that enables every employee to thrive. Join us in building a
Are you looking for a new opportunity with a goal-oriented team?
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.
Our Values:
Champion People be empathetic and help create a place where everyone belongs.
Grow with purpose Be inspired by our higher calling of improving lives.
Be Alight act with integrity, be real and empower others.
It s why we re so driven to connect passion with purpose. Alight helps clients gain a benefits advantage while building a healthy and financially secure workforce by unifying the benefits ecosystem across health, wealth, wellbeing, absence management and navigation.
With a comprehensive total rewards package, continuing education and training, and tremendous potential with a growing global organization, Alight is the perfect place to put your passion to work.
Join our team if you Champion People, want to Grow with Purpose through acting with integrity and if you embody the meaning of Be Alight.
Learn more at careers.alight.com .
About The Role
This role will provide clinical expertise and serve as a critical link between all parties involved in disability cases. This role will facilitate medically sound decisions, ensure absence and disability claims are administered effectively, and deliver compassionate care.
Responsibilities
Serving as primary resource on team managing medical disability and accommodation cases.
Presenting cases to a panel that includes physicians in weekly round table/touch point meetings.
Displaying a professional/corporate presence and presentation style. Additionally, demonstrate excellent problem-solving skills when questioned on your case management plans.
Consulting on medical, behavioral health, and accommodation claims, if within the scope of licensure and clinical expertise.
Assisting in making informed choices via patient advocacy in alignment with Medical Disability Guidelines and employer-based benefit plans and/or laws.
Acting as a liaison between all parties required in case management to facilitate continuous communication and consensus.
Providing documentation, feedback, and reports to diverse occupational populations with an underlying emphasis on returning medically able individuals to productive endeavor.
Managing caseload efficiently, organizes priorities, provides timely intervention and maintains sensitivity to confidential records.
Ensuring quality standards for case management are met and driving return to work process.
Requirements
Be a Registered Nurse, Nurse Practitioner, or possess a comparable license with experience.
5+ years medical advisory experience in occupational health, worker compensation, disability, health case management, or utilization review.
2+ years as a Clinical Case Manager. Additionally, possess a working knowledge of disability, client processes, and case management.
Demonstrate a dedication to providing high quality customer service, using diplomacy, patient advocacy, and professional competency.
Be available for occasional escalations outside of normal business hours (max 8-10 occasions/year).
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 5 years in a row.
Benefits
We offer programs and plans for a healthy mind, body, wallet and life because it s important our benefits care for the whole person. Options include a variety of health coverage options, wellbeing and support programs, retirement, vacation and sick leave, maternity, paternity & adoption leave, continuing education and training as well as a number of voluntary benefit options.
By applying for a position with Alight, you understand that, should you be made an offer, it will be contingent on your undergoing and successfully completing a background check consistent with Alight s employment policies. Background checks may include some or all the following based on the nature of the position: SSN/SIN validation, education verification, employment verification, and criminal check, search against global sanctions and government watch lists, credit check, and/or drug test. You will be notified during the hiring process which checks are required by the position.
Our commitment to Diversity and Inclusion
Alight is committed to diversity, equity, and inclusion. We celebrate differences and believe in fostering an environment where everyone feels valued, respected, and supported. We know that diverse teams are stronger, more innovative, and more successful.
At Alight, we welcome and embrace all individuals, regardless of their background, and are dedicated to creating a culture that enables every employee to thrive. Join us in building a