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Nurse Consultant Jobs

Company

LifeWorks

Address , Grand Rapids
Employment type PART_TIME
Salary
Expires 2023-10-11
Posted at 9 months ago
Job Description
TELUS Health and LifeWorks have recently come together to leverage the power of technology and our caring cultures to further progress our shared goal of building a healthier and friendlier future for all. As a global-leading health and well-being provider – encompassing physical, mental and financial health – TELUS Health is improving health outcomes for consumers, patients, healthcare professionals, employers and employees.
The Nurse Consultant is responsible for providing medical Subject matter expertise and consultation related to the management Short Term Disability, Family & Medical Leave (FML) - Federal and State, and Americans with Disabilities Act Amendments Act (ADAAA) claims.
Responsabilities:
  • May perform case management functions on complex claims
  • Provides medical subject matter expertise related to medical conditions and associated treatments
  • Work effectively and efficiently under periods of high consult volumes, deadlines and multiple interruptions.
  • Manages FML 2nd/3rd opinion claims.
  • Performs medical consults with operations staff on FML, STD or ADA claims.
  • Ensures that all transfers of medical and behavioral health records or information are done in a manner that is confidential and HIPAA compliant.
  • Maintain the confidentiality of information appropriately.
  • Communicates with associated stakeholders, internal and external while maintaining good working relationships in a friendly, warm and professional manner.
  • Engage in consultations with healthcare providers and employees in multiple time zones.
  • Follows all established standard operating procedures (SOPs) and Step Processes related to Absence and Disability Management Service offerings.
  • Completion of STD claim appeals
  • Maintains high quality services and participates in quality and utilization review practices such as, but not limited to peer review and inter-rater reliability.
Succeeding as a Nurse Consultant will require the following skills and qualifications:
  • Maintain RN CMEs to support licensure
  • Demonstrate excellent written and verbal communication skills and is an excellent listener.
  • Adapt easily to changes.
  • Minimum of three (3) years case management experience
  • Current LPN or RN (preferred) licensure
  • Minimum of five (5) years nursing experience
  • CM certification (preferred)
  • Knowledge of FML and Short-Term Disability, and ADAAA policies, case management practices, and current medical trends and developments.
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TELUS Health is an Equal Opportunity Employer. It is our policy to hire without regard to race, color, creed, religion, national origin, citizenship status, sex, marital status, age, disability, sexual orientation or veteran status.

Where permitted by law, company employees must be fully immunized to access a TELUS Health or LifeWorks office or customer premises.

Persons with disabilities who need accommodation in the application process or those needing job postings in an alternative format may e-mail a request to .

By applying to this role, you understand and agree that your information will be shared with the TELUS Group of Companies’ Talent Acquisition team(s) and/or any leader(s) who will be part of the selection process.