Role Description
We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for reviewing, analyzing, and interpreting medical information available for disability claims.
In this role you will act as a clinical resource for Group Protection benefit specialists and claim professionals. You will evaluate medical information to clarify diagnoses, evaluating the severity of medical conditions, validating medical restrictions and limitations, and estimating duration of recovery. In this role you will provide coaching and guidance to claims regarding medical management.
What you'll be doing
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Evaluate medical information to clarify diagnoses, evaluating the severity of medical conditions, validating medical restrictions and limitations, and estimating duration of recovery.
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Clarify, interpret and/or evaluate medical information to assess appropriateness of current and ongoing restrictions/limitations and level of impairment.
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Identify pertinent clinical facts and answer questions in collaboration with benefits specialists and physician consultants.
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Act as a clinical resource to Group Protection claim professionals during claim meetings and as needed.
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Recommend specific medical information needed to evaluate ongoing level of impairment and to facilitate optimal claim management.
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Make appropriate referrals to internal and external clinical resources (i.e. IME, FCE, Peer Reviews).
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Discuss complex medical issues with health care providers as needed and document outcomes of discussion.
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Coordinate and partner with Vocational Rehabilitation Coordinators (VRC) and others to support with return-to-work services.
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Effectively manage assigned caseload within department productivity goals.
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Contact claimants, employers, and health care providers, as indicated.
Qualifications
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4 Year/Bachelorβs Degree in Nursing.
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Registered Nurse License - Current, unrestricted license in the state where the position is located.
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Minimum of 3-5 years of nursing experience with preferred clinical nursing expertise in Emergency Room, Critical Care, Orthopedics, Coronary Care, or trauma.
Requirements
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Previous insurance industry experience preferred.
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Experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills.
Benefits
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Clearly defined career tracks and job levels, along with associated behaviors for each of Lincoln's core values and leadership attributes.
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Leadership development and virtual training opportunities.
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PTO/parental leave.
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Competitive 401K and employee benefits.
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Free financial counseling, health coaching and employee assistance program.
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Tuition assistance program.
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Work arrangements that work for you.
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Effective productivity/technology tools and training.