6 часов назад
Clinical Consultant
53 300 - 100 700$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Clinical Consultant (Medical Claims): Reviewing, analyzing, and interpreting medical information to guide claim decisions and return-to-work planning with an accent on clinical assessment, medical documentation, and collaboration with healthcare providers. Focus on synthesizing complex medical issues, clarifying functional capacity and recovery expectations, and coaching non-medical claims staff.
Location: Chattanooga, Tennessee, USA
Salary: $53,300–$100,700 per year
Company
is a Fortune 500 provider of employee benefits and service solutions, serving more than 39 million people worldwide.
What you will do
- Review, analyze, and interpret medical information in claim files.
- Assess medical documentation and provide balanced conclusions about claim direction and next steps.
- Collaborate with claims professionals, physicians, internal resources, and healthcare providers.
- Clarify functional capacity, treatment plans, and recovery expectations.
- Initiate return-to-work plans where appropriate and coach non-medical staff on medical topics.
- Maintain professional certifications and complete required medical education.
Requirements
- Associate Degree in Nursing and an active RN license required.
- BS degree strongly preferred.
- 3+ years of clinical experience preferred.
- Ability to communicate complex medical issues clearly in writing and verbally.
- Ability to work effectively in a fast-paced, multidisciplinary team environment.
Culture & Benefits
- Award-winning culture with inclusion and diversity as priorities.
- Performance-based incentive plans.
- Health, vision, dental, and short- and long-term disability benefits.
- Paid time off, including paid volunteer time, plus mental health support.
- 401(k) contributions of up to 9.5%, tuition reimbursement, and student loan repayment options.
- Flexible work environments and career advancement opportunities.
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