Nurse Case Manager

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Date: Apr 19, 2022

Location: Remote, TX, US

Company: New York Life Insurance Co

 

When you join New York Life, you’re joining a company that values career development, collaboration, innovation, and inclusiveness. We want employees to feel proud about being part of a company that is committed to doing the right thing. You’ll have the opportunity to grow your career while developing personally and professionally through various resources and programs. New York Life is a relationship-based company and appreciates how both virtual and in-person interactions support our culture.

 

GBS

 

 

Role Summary:

 

The Nurse Case Manager is a professional that is relied upon by the Claim Manager to assist with review of complex disability claims. This assistance may include partnering with a multidisciplinary team of other Nurses, Behavioral Health Specialists, Physicians, and/or Vocational Coaches. This may also include building a rapport and gathering pertinent information from a customer and/or treating providers.  

 

 

Primary Responsibilities:

 

  • Discussions of disability claims with Claim Managers
  • Provide education and background to Claim Managers related to diagnosis and treatment
  • Calls and/or written communication to customers and health care providers
  • Frequent communication throughout the day with internal business partners via telephone, email, and/or instant messaging
  • Supporting Group Benefit Solutions initiatives for quality improvement, change, growth, and excellence in business practices
  • Integrating the review of medical records supplied by the provider with the customer 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 disability customers to promote accountability for the appropriateness of the treatment plan and length of disability

 

Qualifications:

 

  • Licensed Registered Nurse (current and unencumbered)
  • 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 one or more of the following areas:
    • Medical/Surgical
    • Cardiopulmonary
    • Orthopedic
    • Neurology
    • Critical Care
    • Emergency Medicine
    • Occupational Health
    • Rehabilitation
  • CCM and/or Case Management experience preferred

 

Training & Development:

 

Nurse Case Manager will undergo a comprehensive paid training program. Coaching and feedback is provided to help you gain the necessary skills to be successful.

 

Shift Information:

 

This is a full-time work from home position Monday through Friday. Candidates must be available to work 8 hour shifts from 8:00am-4:30pm or 8:30am-5:00pm (Central Time).  

 

Salary:

 

Competitive full-time base salary, plus target bonus if eligible based on performance.

 

Benefits:

 

Paid Vacation, Health Care, 401K match, Tuition Assistance, Flexible Spending Accounts.

 

Career Opportunities:

 

New York Life offers a variety of corporate opportunities including management, quality control, training, sales, underwriting and claims.

 

SF:LI-KH1

 

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 volunteerism, supported by the Foundation. We're proud that due to our mutuality, we operate in the best interests of our policy owners. 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.

Job Requisition ID: 86302

 

 

 


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