RN Clinical Consultant: Disability Claims & RTW
$68.97k - $113.31kGuardian Life
Guardian Life is seeking an RN Clinical Consultant to provide detailed medical reviews and assessments of long-term and short-term disability claims. The role requires a minimum of 5 years in direct patient care, excellent communication skills, and the ability to analyze medical treatment impacts on functional outcomes. This position is available in several locations including fully remote, with a salary range of $68,970 to $113,310 depending on qualifications and experience. #J-18808-Ljbffr Guardian Life
$68.97k - $113.31k
...The RN Clinical Consultant serves as a clinical resource for the investigation... ...medical information regarding disability by providing comprehensive... ...and or short‑term disability claims. The Clinical Consultant identifies... ...and clarify treatment and RTW goals. Educate providers and...DisabilityClaimsTemporary workWork at officeRemote workVisa sponsorshipWork visaFlexible hours- ...and appealing denied medical claims. Responsibilities include:... ...appeal letters with supporting clinical documentation. - Communicate... ...~ Current or Conditional MA RN Licensure ~ American Heart Association... ...identity, veteran status, disability or any other characteristic...DisabilityClaimsFull timeLocal areaWork from homeDay shift
$29 - $52 per hour
...challenges. Primary Responsibilities: * Perform clinical coverage review services, which require... ...'s degree * Current unrestricted RN license in the state of Massachusetts * 3... ...national origin, protected veteran status, disability status, sexual orientation, gender identity...DisabilityClaimsHourly payMinimum wageFull timeWork experience placementLocal areaRemote work$80k - $90k
...healthcare spend. Role Overview: The RN conducts high-quality, timely in-person clinical assessments in members’ homes and... ...Use electronic health record and claims systems to document and track... ...origin, age, physical and mental disability, marital status, sexual orientation...DisabilityClaimsFull timeWork at officeRemote workVisa sponsorshipWork visaRelocation packageShift work$68k - $70k
...Workplaces in Financial Services & Insurance RN Clinical Consultation - Full Time We are looking to add 4... ..., vision, 401k and matching, PTO, disability and life insurance, employee... ...Sedgwick is the world’s leading risk and claims administration partner, which helps clients...DisabilityClaimsFull timeRemote workMonday to FridayFlexible hoursShift work$62.7k - $100.4k
...Care Triage Registered Nurse (RN) - Massachusetts ONLY... ...responsible for performing telephonic clinical triage and providing health... ...to qualified individuals with disabilities or medical conditions,... ...every opportunity count. Each claim, each phone call, each consumer...DisabilityClaimsHourly payFull timeWork at officeLocal areaHome office- ...Financial Services & Insurance RN Field Case Manager This... ...great work. Apply your medical/clinical or rehabilitation knowledge... ..., 401k and matching, PTO, disability and life insurance, employee assistance... ...the world's leading risk and claims administration partner, which...DisabilityClaimsLive inWork at officeRemote workWork from homeFlexible hours
$62.7k - $100.4k
...Hybrid Registered Nurse (RN) Clinical Care Manager - Boston locations Massachusetts... ...exploitation of older adults and adults with disabilities as a mandated reporter as required by... ...to make every opportunity count. Each claim, each phone call, each consumer-centric...DisabilityClaimsHourly payFull timeWork at officeLocal areaWork from homeHome officeFlexible hoursWeekend workAfternoon shift$135k - $155k
...future-state operating models spanning claims, enrollment, billing, provider relations... ...within health plan settings. Prior consulting, managed services, or advisory experience... ...may be made to enable individuals with disabilities to perform the essential functions of this...DisabilityClaimsPermanent employmentFull timeWork at officeRemote work$80k
...assess clients for services, determine clinical eligibility for programs and develop care... ...employer contribution ~ Life and long-term disability insurance at no cost to employee ~... .... Transparency: While we don't claim to be 100% transparent (there are certain...DisabilityClaimsFull timeRemote workFlexible hoursNight shiftAfternoon shift$82.5k - $166.1k
...transforming healthcare systems? As a Senior Clinical Consultant, you will play a crucial part in... ...Administration (preferred) ~ Registered Nurse (RN) or other clinical licensure (preferred... ...expert medical opinion # Short term disability and long term disability # Life...DisabilityTemporary workVisa sponsorshipFlexible hours- Adjunct Clinical Nursing Instructor (Boston, MA) - St. Joseph's College of Maine We are seeking... ...or expression, mental or physical disability, familial status, protected whistleblower... ...assertion of workers’ compensation claim, genetic information, protected veteran...DisabilityClaimsContract workImmediate start
$89.5k - $166.9k
...Clinical Consultant Employee Health & Benefits Our not-so-secret sauce. Award-winning, inclusive... ...and operations management. ~ Valid RN license and a degree in nursing (... ...its affiliates are EOE Minority/Female/Disability/Vet/Sexual Orientation/Gender Identity...DisabilityWork experience placementLocal areaNight shift- ...We are seeking a dynamic clinical professional to strengthen and advance... ...education, training, consultative support, and formal presentations... .... ~ Registered Nurse (RN) license, preferred. ~5-10... ...religion, sex, age, marital status, disability, veteran status, sexual...DisabilityLocal area
$59k - $75.05k
...service, pre or post payment in-depth claim reviews based on accepted medical guidelines and clinical criteria, billing and coding... ...to Zelis: Current/active RN License. Typically has a BA... ...holidays, parental leaves, life and disability insurance, and health benefits...DisabilityClaimsFull timeWork at officeLocal areaVisa sponsorshipFlexible hours$80k - $85k
...further assist in their machine UPTIME Entering all technical claims, service activity, follow‑ups, and other customer‑related inquiries... ...Flexible Spending Account Life Insurance Short‑Term Disability Long‑Term Disability Employee Assistance Program Employee Discount...DisabilityClaimsTemporary workRemote workFlexible hours$68.97k - $113.31k
...Vocational Rehabilitation Consultant will develop cost... ...assist individuals with disabilities in returning to the... ...of LTD, STD and Life claims, to determine claimants... ...Collaborate with Disability Clinical & Vocational Services... ...probability of RTW. Serve as educational...DisabilityClaimsFull timePart timeWork experience placementH1bWork at officeVisa sponsorshipWork visaFlexible hours$45k - $55k
...Specialist Apply your medical/clinical or rehabilitation knowledge and experience... ...of claimants within appropriate disability duration guidelines; to determine... ...work restrictions for assigned claims. Facilitates return-to-work (RTW) efforts through negotiation with...DisabilityClaimsRemote workFlexible hours- ...Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervises... ...Order To Maintain A High Level Of Service. EEO/AA/Disability/Veteran Responsibilities # Assesses The Patient...Disability
- ...Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervises... ...Order To Maintain A High Level Of Service. EEO/AA/Disability/Veteran Responsibilities # Assesses The Patient...Disability
- ...Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervises... ...Order To Maintain A High Level Of Service. EEO/AA/Disability/Veteran Responsibilities # Assesses The Patient...Disability
- ...supports aging adults, people with disabilities, and individuals with complex... ..., Vitra Health is seeking a Clinical Compliance Manager who is... ...strong clinical background (RN required), deep knowledge of... ...strategies Oversee medical record and claims review processes to ensure...DisabilityClaimsWork at office
- ...day. Under the supervision of the Nurse Manager or Clinical Coordinator, the Registered Nurse (RN) provides comprehensive, patient-centered care across... ...standard of service and patient outcomes. EEO/AA/Disability/Veteran Responsibilities # Assesses The Patient...DisabilityShift work
- ...day. Under the supervision of the Nurse Manager or Clinical Coordinator, the Registered Nurse (RN) provides comprehensive, patient-centered care across... ...standard of service and patient outcomes. EEO/AA/Disability/Veteran Responsibilities # Assesses The Patient...DisabilityShift work
- ...Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervises... ...Order To Maintain A High Level Of Service. EEO/AA/Disability/Veteran Responsibilities # Assesses The Patient...DisabilityImmediate start
$105.3k - $165.8k
...third party administrator, vendor, risk consulting, indemnity, etc. Assist in product development... ..., Communications, Operations, Finance, Claims, and Risk Consulting Research and... ...and origins, marital status, religion, disability, or any other protected characteristic....DisabilityClaimsFlexible hours$99k - $232k
...Requirements: Up to 80% Opportunity Overview As a Provider Clinical Operations Consultant, Manager, you will engage with clients in the health... ...pregnancy, sexual orientation, and gender identity), age, disability, genetic information (including family medical history),...DisabilityFull timeH1b$19.81 - $28.3 per hour
...insurance coverage and eligibility to ensure accurate billing and claims processing. Collect and record patient demographic and... ..., religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and...DisabilityClaimsHourly payRemote workShift work$29 - $52 per hour
...UnitedHealth Group is seeking a qualified Registered Nurse in Massachusetts to perform clinical coverage review services. As part of this role, you will communicate benefit determinations and work closely with healthcare providers to explain coverage. We offer telecommuting...ClaimsHourly payRemote work$90k - $143k
Clinical Solutions Delivery Consultant - Boston, Hartford, Vermont Bring your passion for patient care and technology to this role where you’ll be responsible... ...an Equal Employment and Opportunity Employer including Disability/Vets and maintains a drug‑free workplace. #J-18808-...DisabilityFull timeWork at officeLocal areaImmediate startRemote workWork from homeHome officeWork visaRelocation packageFlexible hoursNight shift3 days per week
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