Sr. RN Consultant - Professional Liability

Sedgwick

7d•$85,000 - $95,000

About The Position

The Sr. RN Consultant - Professional Liability handles complex or high-exposure claim issues and provides medical knowledge of the health care system and health care issues. The role independently investigates, analyzes, and evaluates medical malpractice claims for self-insured and commercially insured clients, provides information to help clients determine liability issues and exposure, and assists in identifying risk management issues to reduce liability exposure and associated legal costs. The consultant advises and leads Nurse Consultant - PL colleagues, develops investigation action plans, gathers and communicates relevant information, and prepares reports summarizing medical records and interviews with analysis and recommendations for further claims handling. The position may also involve interviewing practitioners at hospital facilities weekly as needed, participating in follow-up investigations, and assisting with discovery requests. A bachelor's degree is preferred, and an RN license is required. Candidates must have five years of related clinical nursing experience and two years of nurse consultant experience. Legal Nurse Consultant certification or training is preferred, as is general or professional liability investigation experience.

Requirements

RN license required.
Five years of related clinical nursing experience required.
Two years of nurse consultant experience required.
Technical claims knowledge of medical malpractice claims procedures and practices.
Excellent oral and written communication, including presentation skills.
PC literacy, including Microsoft Office products.
Analytical and interpretive skills.
Strong organizational skills.
Excellent interpersonal skills.
Ability to work in a team environment.
Ability to meet or exceed Performance Competencies.

Nice To Haves

Bachelor's degree from an accredited college or university preferred.
Legal Nurse Consultant (LNC) certification or training preferred.
General or Professional Liability investigation related experience preferred.

Responsibilities

Handle complex or high-exposure claim issues and advise and lead Nurse Consultant - PL colleagues.
Review requests for investigation, develop action plans, and investigate cases accordingly.
Collect data from the Company and clients to document and communicate results as appropriate.
Prepare reports summarizing medical records and interviews, outline issues related to summary reports, and provide analysis and recommendations for further claims handling.
Interview practitioners involved in medical malpractice claims at hospital facilities weekly as needed.
Participate in follow-up review and investigation as directed and assist with discovery requests as needed.
Provide information to clients to help determine liability issues and exposure.
Assist in identifying risk management issues to decrease liability exposure and associated legal costs.