RN Clinical Consultant

Location: Remote in the United States, or onsite in Plano, TX; Bethlehem, PA; or Holmdel, NJ. Occasional travel of 0–10% may be required. Applicants must be legally authorized to work in the United States without current or future employer sponsorship.

Salary: $68,970–$113,310 annually, plus potential incentive compensation.

Company

hirify.global provides insurance and related services, with a focus on supporting well-being and customer outcomes.

What you will do

• Review short-term and long-term disability claims, including medical documentation, functional limitations, treatment progress, and recovery timelines.
• Assess how illness, injury, and treatment affect occupational and daily living activities, and provide clinical recommendations for claim decisions.
• Collaborate with treating providers, claimants, case managers, and vocational rehabilitation specialists to support treatment and return-to-work opportunities.
• Educate and mentor claims professionals on medical conditions, treatment interventions, functional impairments, and disability outcomes.
• Coordinate independent medical reviews and assessments to ensure accurate and timely resolution of complex clinical questions.
• Manage a high-volume workload, resolve issues proactively, and support continuous quality improvement initiatives.

Requirements

• Active Registered Nurse license.
• At least 5 years of direct acute patient care experience.
• At least 3 years of clinical consulting experience in long-term and/or short-term disability, preferably long-term disability.
• Strong knowledge of medical conditions, treatments, functional capacity, and disability duration.
• Excellent communication, clinical assessment, analytical, critical-thinking, research, organizational, and decision-making skills.
• Proficiency with Microsoft Word, Excel, and PowerPoint, plus the ability to work independently in a changing environment.

Nice to have

• Bachelor of Science in Nursing.
• Certified Case Manager designation.
• Experience with disability, absence management, or insurance claims operations.
• Knowledge of disability products, business rules, and claims procedures.
• Experience with DCMS, Claim Facts, iProcess, or similar claims management systems.

Culture & Benefits

• Support for professional and personal goals through skill-building and leadership development.
• Opportunities to participate in philanthropic initiatives and community-building activities.
• Contemporary, supportive, flexible, and inclusive benefits and resources.
• Benefits apply to eligible full-time employees.