This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for an RN Clinical Consultant based in the United States.
This fully remote opportunity is designed for an experienced registered nurse who is passionate about combining clinical expertise with analytical decision-making. In this role, you will evaluate medical information to support disability claims, helping ensure fair, evidence-based outcomes while improving the customer experience. Working closely with case managers, healthcare providers, and vocational specialists, you will assess functional capacity, promote appropriate treatment plans, and encourage successful return-to-work outcomes. The position offers a collaborative environment where your clinical judgment directly influences claim decisions and quality of care. Ideal for professionals who thrive in a fast-paced setting, this role provides meaningful impact, professional growth, and the flexibility of remote work.
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for an RN Clinical Consultant based in the United States.
This fully remote opportunity is designed for an experienced registered nurse who is passionate about combining clinical expertise with analytical decision-making. In this role, you will evaluate medical information to support disability claims, helping ensure fair, evidence-based outcomes while improving the customer experience. Working closely with case managers, healthcare providers, and vocational specialists, you will assess functional capacity, promote appropriate treatment plans, and encourage successful return-to-work outcomes. The position offers a collaborative environment where your clinical judgment directly influences claim decisions and quality of care. Ideal for professionals who thrive in a fast-paced setting, this role provides meaningful impact, professional growth, and the flexibility of remote work.
Accountabilities:
- Review short-term and long-term disability claims to assess the medical impact of illnesses or injuries on functional capacity and work ability.
- Analyze medical records, treatment plans, and clinical documentation to support accurate claim determinations.
- Collaborate with treating healthcare providers to clarify medical information, discuss treatment plans, and promote evidence-based return-to-work goals.
- Educate providers and claimants on the benefits of appropriate treatment and timely return-to-work strategies.
- Provide clinical guidance and technical expertise to case managers throughout the disability claims process.
- Support vocational rehabilitation efforts by partnering with internal specialists to identify return-to-work opportunities.
- Coordinate independent medical reviews by external vendors and ensure quality, accuracy, and relevance of clinical assessments.
- Deliver training, mentoring, and educational support to claims professionals on medical topics related to disability management.
- Manage workflow efficiently while maintaining high standards of accuracy, customer service, and continuous process improvement.
- Proactively identify and resolve issues that enhance the overall customer experience.
- Active Registered Nurse (RN) credentials with a minimum of five years of direct patient care experience.
- Bachelor of Science in Nursing (BSN) preferred; Certified Case Manager (CCM) designation is a plus.
- Strong knowledge of medical conditions, treatment plans, and their impact on functional capacity and disability claims.
- Excellent clinical reasoning, analytical thinking, and problem-solving abilities.
- Strong verbal, written, and presentation skills with the ability to communicate effectively across diverse stakeholders.
- Ability to exercise sound independent judgment while managing multiple priorities in a fast-paced environment.
- Excellent organizational and time management skills with strong attention to detail.
- Proficiency with Microsoft Office applications, including Word, Excel, and PowerPoint.
- Experience with disability claims systems and platforms such as DCMS, Claim Facts, or iProcess is preferred.
- Ability to adapt to changing business priorities while maintaining a customer-focused approach.
- Must be legally authorized to work in the United States without current or future employer sponsorship.
- Fully remote work opportunity within the United States.
- Competitive annual base salary ranging from $70,340 to $115,565, based on experience, qualifications, and location.
- Eligibility for annual or other performance-based incentive compensation.
- Comprehensive health and wellness benefits for eligible full-time employees.
- Flexible work environment that supports professional and personal well-being.
- Career development, leadership training, and continuous learning opportunities.
- Philanthropic and community engagement programs.
- Inclusive workplace culture that values diversity, collaboration, and professional growth.
- Occasional travel requirement of approximately 0–10%.
As an RN Clinical Consultant, you will serve as a trusted clinical expert supporting disability claim evaluations through comprehensive medical analysis and collaboration with internal and external stakeholders.
Requirements:
The ideal candidate is a clinically experienced registered nurse with strong analytical skills, excellent communication abilities, and a passion for supporting evidence-based disability management.