[Hiring] Nurse Disability Consultant @Lincoln Financial

Role Description

We are excited to be seeking 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.

• Act as a clinical resource for Group Protection benefit specialists and claim professionals.
• Evaluate medical information to clarify diagnoses, evaluate the severity of medical conditions, validate medical restrictions and limitations, and estimate duration of recovery.
• Provide coaching and guidance to claims regarding medical management.
• Maintain knowledge on current and emerging developments/trends, assess the impact, and collaborate with management to incorporate new trends and developments in current and future solutions.
• Clarify, interpret and/or evaluate medical information to assess appropriateness of current and ongoing restrictions/limitations and level of impairment.
• Identify pertinent clinical facts and answer questions in collaboration with benefits specialists and physician consultants.
• Recommend specific medical information needed to evaluate ongoing levels of impairment and to facilitate optimal claim management.
• Make appropriate referrals to external clinical resources (i.e. IME, FCE, Peer Reviews).
• Discuss complex medical issues with health care providers as needed and document outcomes of discussion.
• Coordinate and partner with Vocational Rehabilitation Coordinators (VRC) and others to support return-to-work services.
• Effectively manage assigned caseload within department productivity goals.

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, management, and other stakeholders.

Requirements

• Associates or bachelor’s degree in Nursing (Nice-to-have).
• 3-5 years of nursing experience with preferred clinical nursing expertise in Emergency Room, Critical Care, Orthopedics, Coronary Care, or trauma (Nice-to-have).
• Previous insurance industry experience preferred (Nice-to-have).
• Experience and/or proficiency with Disability Management (STD/LTD), Workers Compensation, Utilization Review and/or nurse case management preferred skills (Nice-to-have).

Benefits

• Clearly defined career tracks and job levels, along with associated behaviors for each of Lincoln's core values and leadership attributes.
• Leadership development and virtual training opportunities.
• PTO/parental leave.
• Competitive 401K and employee benefits.
• Free financial counseling, health coaching, and employee assistance program.
• Tuition assistance program.
• Work arrangements that work for you.
• Effective productivity/technology tools and training.