Fully Remote
Location Designation
When you join New York Life, you're joining a company that values career development, collaboration, innovation, and inclusiveness. We want employees to feel proud about being part of a company that is committed to doing the right thing. You'll have the opportunity to grow your career while developing personally and professionally through various resources and programs. New York Life is a relationship-based company and appreciates how both virtual and in-person interactions support our culture.
GBS
The Nurse Case Management Lead Analyst assists the claim manager to assess medical/disability status and reports within quality assurance time frames.
A typical day will include
- Discussion of disability claims with claim managers calls to customers and health care practitioners
- Frequent communication telephonically, via email, and instant messaging to internal business partners
- Participatingin customer service calls
- Supportinggroupinsuranceinitiatives for quality improvement, change, growth, and excellence in business practices
- Understanding and articulatingcustomer's perspective
- Facilitatingrelations with and between Claim Managers, business partners, and customers to develop claim strategies and facilitate a safe return to work
- Collaboratingwith health care providers and ill/injured employees to promote accountability for the appropriateness and status of treatment plan and length of disability
- Actingas an advocate for injured/ill individuals educational opportunities for staff through training, inservice, and sharing of resources on one-on-one or group forums, whichever is most efficient and effective
Qualifications
- Licensed Registered Nurse (current and unencumbered) able to execute through the assessment, planning, coordination, collaborating, evaluating, and communication of objective information regarding the medical status and state of well being
- Acts as a medical resource person for staff provides licensure in state of residency and state of employment
- License must be current and without standing or pending censure by any state.A minimum of 3-5 years clinical experience with strong clinical background in at least one or more of the following
- Medical/Surgical Nursing Occupational Health Nursing
- Rehabilitation Nursing Psychiatric Nursing
- Critical Care Nursing Public Health Nursing
- Certification(s) in Case Management or Disability Management Specialist
- Ability to function in a team environment
- Strong skills in medical assessment/medical record review
- CCM or Case Management experience preferred
It is recommended that all qualified candidates apply to this posting as soon as possible. Residents of Colorado are hereby notified that the deadline to apply is 5 days from the Posting Date listed above.
#LI-KH1
$80,000-$105,000
Salary range
Exempt
Overtime eligible
Yes
Discretionary bonus eligible
No
Sales bonus eligible
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. Starting salary is dependent upon several factors including previous work experience, specific industry experience, and/or skills required.
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Were proud that due to our mutuality, we operate in the best interests of our policy owners. We invite you to bring your talents to New York Life, so we can continue to help families and businesses Be Good At Life. To learn more, please visit
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Job Requisition ID90181