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Clinical Consultant

$77.4k - $116.1k

DentaQuest

Clinical Consultant

Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Our team members and leaders are expected to foster connection and teamwork by being present in the office at least 2 days per week.

The opportunity: Sun Life operates with a Work Is Healthy (WisH) approach for disability claims management. As a Clinical Consultant within our Clinical Services team, you will apply your clinical expertise as a member of an interdisciplinary team that focuses on returning clients to optimal levels of productivity. This role does not involve hands-on assessment or direct care. All work is solely performed using electronic medical records and phone/fax communication.

How you will contribute:

  • Evaluate medical documentation to assess disability claims and functional capabilities.
  • Provide clinical insight on complex medical conditions, treatment plans, and recovery timelines.
  • Collaborate with claims professionals to synthesize facts and support quality decisions.
  • Educate and consult with physicians, vocational counselors, employers, and other stakeholders.
  • Communicate medical determinations via phone and written reports.
  • Support return-to-work (RTW) planning through evaluation of restrictions, accommodations, and functional potential.
  • Participate in peer collaboration and claims roundtables to share best practices.
  • Mentor peers and educate internal teams on clinical topics and trends.

What you will bring with you:

  • Ability to work with a diverse range of people
  • RN licensure, active and unrestricted, BSN preferred
  • Specialty certification such as CCM, CRRN, or eligible with desire to pursue a plus
  • 3+ years of clinical experience working with an adult working age population
  • Experience in a rehabilitation setting, Occupational Health, Case/Care Management, Disability Insurance, Group Benefits, or Workers compensation a plus
  • Strong communication skills to consult professionally across multiple audiences.
  • Proficiency in Microsoft Office tools, including Outlook, Word, Excel, and clinical systems.
  • Self-motivated with excellent critical thinking, time management, and judgment skills.

Salary:

$77,400 - $116,100

At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions.

Life is brighter when you work at Sun Life

We will make reasonable accommodation to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email View email address on click.appcast.io to request an accommodation.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

DentaQuest
Vacancy posted 8 hours ago
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