HireMO

Fully Remote

Remote - United States

Full time

R000109662

Are you a registered nurse who is passionate about helping individuals achieve optimal recovery and return-to-work outcomes? Guardian is seeking an RN Clinical Consultant to serve as a clinical expert supporting the evaluation of short-term and long-term disability claims. In this role, you will analyze medical information, assess functional capacity, collaborate with healthcare providers, and provide clinical guidance that supports claim decisions. You will play a critical role in enhancing customer outcomes through sound clinical judgment, proactive case collaboration, and a commitment to exceptional service.

You are

A highly motivated and clinically skilled registered nurse who thrives in a fast-paced, customer-focused environment. You can work independently while also collaborating effectively with claim professionals, healthcare providers, vocational specialists, and internal business partners. You are analytical, detail-oriented, and decisive, with the ability to evaluate complex medical information and translate clinical findings into actionable recommendations. You act with urgency and accountability while maintaining a strong commitment to improving claimant outcomes and customer experiences.

You have

Required Qualifications:

+ ActiveRegisteredNurse(RN)license

+ Minimumof5yearsofdirect acutepatientcareexperience

+ Minimum of 3 years' experience as a clinical consultant in LTD and/or STD (LTD preferred)

+ Strongknowledgeofmedicalconditions,treatments,andtheirimpactonfunctionalcapacityanddisabilityduration

+ Excellentverbalandwrittencommunicationskills

+ Strongclinicalassessment,analytical,criticalthinking,andresearchskills

+ Abilitytoexerciseindependentjudgmentandmakesoundclinicaldecisions

+ Strongorganizationalandtime-managementskillswiththeabilitytoprioritizecompetingdemands

+ ProficiencywithMicrosoftOfficeapplications,includingWord,Excel,andPowerPoint

+ Abilitytoadapttochangingbusinessneedsandworkeffectivelyinadynamicenvironment

Preferred Qualifications:

+ BachelorofScienceinNursing(BSN)

+ CertifiedCaseManager(CCM)designation

+ Experiencesupportingdisability,absencemanagement,orinsurance-basedclaimsoperations

+ Knowledgeofdisabilityproducts,businessrules,andclaimsprocedures

+ ExperiencewithDCMS,ClaimFacts,iProcess,orsimilarclaimsmanagementsystems

You will

+ Reviewshort-termandlong-termdisabilityclaimstoevaluatemedicaldocumentation,functionallimitations,treatmentprogress,andexpectedrecoverytimelines.

+ Analyzetheimpactofillness,injury,andtreatmentplansonaclaimant'sabilitytoperformoccupationalanddailylivingactivities,providingclinicalrecommendationsthatsupportclaimdecisions.

+ Collaboratewithtreatingproviders,claimants,casemanagers,andvocationalrehabilitationspecialiststopromoteappropriatetreatmentplans,clarifymedicalinformation,andfacilitatereturn-to-workopportunities.

+ Serveasaclinicalsubjectmatterexpertbyeducatingclaimsprofessionalsonmedicalconditions,treatmentinterventions,functionalimpairments,anddisability-relatedoutcomes.

+ Coordinateindependentmedicalreviewsandassessments,ensuringquality,accuracy,andtimelyresolutionofcomplexclinicalquestions.

+ Manageahigh-volumeworkloadwhileprioritizingcustomerneeds,resolvingissuesproactively,andsupportingcontinuousqualityimprovementinitiatives.

+ Provideongoingmentoringandtrainingtoclaimsstaffandpeersregardingthemedicalandfunctionalimpactofinjury,illness,andtreatmentondisabilityclaims.

Reporting Relationships

+ Asour RN Clinical Consultant ,youwillreporttoour Clinical Team Leader ,whoreportstoour Director, Clinical Services .

Location

+ Plano, TX, Bethlehem, PA, Holmdel, NJ, or fully remote

Travel

+ Occasional 0-10% of the time.

Salary Range:

$68,970.00 - $113,310.00

The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation.

Our Promise

At Guardian, you'll have the support and flexibility to achieve your professional and personal goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.

Inspire Well-Being

As part of Guardian's Purpose - to inspire well-being - we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues. Explore our company benefits at www.guardianlife.com/careers/corporate/benefits . _Benefits apply to full-time eligible employees. Interns are not eligible for most Company benefits._

Equal Employment Opportunity

Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.

Accommodations

Guardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact MyHR@glic.com . Please note: this resource is for accommodation requests only. For all other inquires related to your application and careers at Guardian, refer to the Guardian Careers site.

Visa Sponsorship

Guardian Life is not currently or in the foreseeable future sponsoring employment-based visas (e.g., such as an H-1B). In order to be a successful applicant, you must be legally authorized to work in the United States, without the need for employer sponsorship/support now or at any time in the future.

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