Nurse Disability Consultant

Lincoln Financial•Papillion, NE

23d•$72,900 - $131,600•Remote

About The Position

We are excited to be seeking a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for reviewing, analyzing, and interpreting medical information available for disability claims. As a Nurse Disability Consultant, you will act as a clinical resource for Group Protection benefit specialists and claim professionals. You will evaluate medical information to clarify diagnoses, evaluate the severity of medical conditions, validate medical restrictions and limitations, and estimate duration of recovery. You will provide coaching and guidance to claims regarding medical management.

Requirements

4 Year/Bachelor's degree or equivalent work experience (4 years of experience in lieu of Bachelor's) in Nursing.
Registered Nurse – Current, unrestricted license in the state where the position is located (upon hire certificates/licensures).
Ability to read, analyze and interpret both internal and external documents such as general media/publications, professional journals, technical procedures, governmental regulations, policies, proposals, and standard operating procedures.
Confident, comfortable communicator with strong written and verbal communication skills.
Demonstrates clear, concise communication skills when interpreting medical information, documenting rationales for clinical opinions, clarifying restrictions/limitations, assisting with return to work and communicating with staff, mgmt. & other stakeholders

Nice To Haves

Associates or bachelor’s degree in Nursing.
3-5 years of nursing experience with preferred clinical nursing expertise in Emergency Room, Critical Care, Orthopedics, Coronary Care, or trauma.
Previous insurance industry experience preferred.
Experience and/or proficiency with Disability Management (STD/LTD), Workers Compensation, Utilization Review and/or nurse case management preferred skills

Responsibilities

Maintain knowledge on current and emerging developments/trends, assess the impact, and collaborate with management to incorporate new trends and developments in current and future solutions.
Evaluate medical information to clarify diagnoses, evaluate the severity of medical conditions, validating medical restrictions and limitations, and estimating duration of recovery.
Clarify, interpret and/or evaluate medical information to assess appropriateness of current and ongoing restrictions / limitations and level of impairment
Identify pertinent clinical facts and answers questions in collaboration with benefits specialists and physician consultants
Act as a clinical resource to Group Protection claim professionals during claim meetings and as needed.
Recommend specific medical information needed to evaluate ongoing levels of impairment and to facilitate optimal claim management.
Make appropriate referrals to external clinical resources (i.e. IME, FCE, Peer Reviews).
Discuss complex medical issues with health care providers as needed and documents outcomes of discussion.
Coordinate and partner with Vocational Rehabilitation Coordinators (VRC) and others to support with return-to-work services.
Effectively manage assigned caseload within department productivity goals.
Contact claimants, employers, and health care providers, as indicated.