Clinical Case Manager-RN

Clinical Case Manager – RN About the Role – The Clinical Case Manager-RN will offer clinical expertise, act as a liaison in disability cases, and utilize MDGuidelines to support medically sound decisions. They will ensure effective administration of absence and disability claims while delivering compassionate care to client employees. Responsibilities Serving as primary resource on team managing medical disability and accommodation cases. Delivering case presentations to a panel, utilizing compelling communication, critical thinking, negotiation, holistic case analysis, and proactive case management skills. Displaying a professional/corporate presence and presentation style with the ability to demonstrate excellent problem‑solving skills when questioned on case management plans. Consulting on medical, behavioral health, and accommodation claims as needed, if within the scope of licensure and clinical expertise. Supporting employee‑clients in making informed decisions through patient advocacy aligned with Medical Disability Guidelines (MDG), employer benefit plans, and disability management regulations. Acting as a liaison between all parties required in case management to facilitate continuous communication and consensus. Serving as a liaison to the client’s EAP, coordinating care, and encouraging referrals to top behavioral health providers. Providing documentation, feedback, and reports to diverse occupational populations with an emphasis on returning medically able individuals to productive work. Managing caseload efficiently, organizing priorities, providing timely interventions, and maintaining sensitivity to confidential records. Driving the return‑to‑work process from beginning to closure. Ensuring quality standards for case management are met and implementing Alight’s continuous quality improvement process whenever efficiencies or quality standards are not met. Requirements Be a Registered Nurse, Nurse Practitioner, or comparable license with experience, working knowledge of disability, client processes, and case management. Have a minimum of 5 years medical advisory experience in occupational health, worker compensation, disability, health case management, or utilization review. Have a minimum of 2 years’ experience as a Clinical Case Manager. Demonstrate dedication to providing high‑quality customer service, using diplomacy, patient advocacy, and professional competency. Foster interest in collaborating with compassionate clinicians and leaders who prioritize mutual care and the well‑being of customers and employees. Have relevant education and valid licensure. Application Process Background checks may be required, including SSN/SIN validation, education verification, employment verification, and criminal check, search against global sanctions and government watch lists, credit check, and/or drug test. Successful completion of a background check is a condition of employment. Alight requires all virtual interviews to be conducted on video. Alight is a camera‑on culture and may require occasional travel to one of our physical office locations. Benefits Benefits include health, dental and vision coverages starting Day One as well as wellbeing programs, retirement plans with contribution matching, generous time off, parental leave, continuing education, and career growth opportunities. Equal Opportunity Policy Statement Alight is an Equal Employment Opportunity employer and does not discriminate against anyone based on sex, race, color, religion, creed, national origin, ancestry, age, physical or mental disability, medical condition, pregnancy, marital or domestic partner status, citizenship, military or veteran status, sexual orientation, gender, gender identity or expression, genetic information, or any other legally protected characteristics covered by federal, state or local law. Alight also takes affirmative action to employ disabled persons, disabled veterans, and other covered veterans. Authorization to work in the Employing Country Applicants must have work authorization that does not, now or in the future, require sponsorship of a visa for employment authorization in the Employing Country and with Alight. Salary Pay Range Minimum: $95,000.00 USD; Maximum: $125,000.00 USD. #J-18808-Ljbffr Alight Solutions