Senior Associate - Disability Nurse Case Manager Specialist

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Date: Jan 11, 2021

Location: Remote, TX, US

Company: New York Life Insurance Co

A career at New York Life offers many opportunities. To be part of a growing and successful business. To reach your full potential, whatever your specialty. Above all, to make a difference in the world by helping people achieve financial security. It’s a career journey you can be proud of, and you’ll find plenty of support along the way. Our development programs range from skill-building to management training, and we value our diverse and inclusive workplace where all voices can be heard. Recognized as one of Fortune’s World’s Most Admired Companies, New York Life is committed to improving local communities through a culture of employee giving and service, supported by our Foundation. It all adds up to a rewarding career at a company where doing right by our customers is part of who we are, as a mutual company without outside shareholders. We invite you to bring your talents to New York Life, so we can continue to help families and businesses “Be Good At Life.” To learn more, please visit LinkedIn, our Newsroom and the Careers page of www.NewYorkLife.com.

 

Role Summary
 

The Nurse Case Management Lead Analyst assists the claim manager to assess medical/disability status and reports within quality assurance time frames.

 

A typical day will include:

  • Discussion of disability claims with claim managers; calls to customers and health care practitioners 
  • Frequent communication telephonically, via email, and instant messaging to internal business partners
  • Participating in customer service calls
  • Supporting group insurance initiatives for quality improvement, change, growth, and excellence in business practices
  • Understanding and articulating customer’s perspective
  • Facilitating relations with and between Claim Managers, business partners, and customers to develop claim strategies and facilitate a safe return to work
  • Collaborating with health care providers and ill/injured employees to promote accountability for the appropriateness and status of treatment plan and length of disability
  • Acting as an advocate for injured/ill individuals educational opportunities for staff through training, inservice, and sharing of resources on one-on-one or group forums, whichever is most efficient and effective
     

Qualifications

 

  • Licensed Registered Nurse (current and unencumbered) able to execute through the assessment, planning, coordination, collaborating, evaluating, and communication of objective information regarding the medical status and state of well being
  • Acts as a medical resource person for staff; provides licensure in state of residency and state of employment
  • License must be current and without standing or pending censure by any state.A minimum of 3-5 years clinical experience with strong clinical background in at least one or more of the following:
  • Medical/Surgical Nursing Occupational Health Nursing 
  • Rehabilitation Nursing Psychiatric Nursing 
  • Critical Care Nursing Public Health Nursing
  • Certification(s) in Case Management or Disability Management Specialist
  • Ability to function in a team environment
  • Strong skills in medical assessment/medical record review
  • CCM or Case Management experience preferred

 

EOE M/F/D/V

 

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Job Requisition ID: 83062 


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