Role
This role will provide clinical expertise and serve as a critical link between all parties involved in disability cases.
This role will facilitate medically sound decisions, ensure absence and disability claims are administered effectively, and deliver compassionate care.
Responsibilities
- Serving as primary resource on team managing medical disability and accommodation cases.
- Presenting cases to a panel that includes physicians in weekly round table / touch point meetings.
- Displaying a professional / corporate presence and presentation style. Additionally, demonstrate excellent problem-solving skills when questioned on your case management plans.
- Consulting on medical, behavioral health, and accommodation claims, if within the scope of licensure and clinical expertise.
- Assisting in making informed choices via patient advocacy in alignment with Medical Disability Guidelines and employer-based benefit plans and / or laws.
- Acting as a liaison between all parties required in case management to facilitate continuous communication and consensus.
- Providing documentation, feedback, and reports to diverse occupational populations with an underlying emphasis on returning medically able individuals to productive endeavor.
- Managing caseload efficiently, organizes priorities, provides timely intervention and maintains sensitivity to confidential records.
- Ensuring quality standards for case management are met and driving return to work process.
Requirements
- Be a Registered Nurse, Nurse Practitioner, or possess a comparable license with experience. Additionally, possess a working knowledge of disability, client processes, and case management.
- 5+ years medical advisory experience in occupational health, worker compensation, disability, health case management, or utilization review.
- 2+ years as a Clinical Case Manager
- Have ability to work in hybrid environment . Office is located in Jersey City, NJ.
- Demonstrate a dedication to providing high quality customer service, using diplomacy, patient advocacy, and professional competency.
- Be available for occasional escalations outside of normal business hours (max 8-10 occasions / year).
Flexible Working
So that you can be your best at work and home, we consider flexible working arrangements wherever possible. Alight has been a leader in the flexible workspace and Top 100 Company for Remote Jobs 5 years in a row.
Benefits
We offer programs and plans for a healthy mind, body, wallet and life because it’s important our benefits care for the whole person.
Options include a variety of health coverage options, wellbeing and support programs, retirement, vacation and sick leave, maternity, paternity & adoption leave, continuing education and training as well as a number of voluntary benefit options.
By applying for a position with Alight, you understand that, should you be made an offer, it will be contingent on your undergoing and successfully completing a background check consistent with Alight’s employment policies.
Background checks may include some or all the following based on the nature of the position : SSN / SIN validation, education verification, employment verification, and criminal check, search against global sanctions and government watch lists, credit check, and / or drug test.
You will be notified during the hiring process which checks are required by the position.
Our commitment to Diversity and Inclusion
Alight is committed to diversity, equity, and inclusion. We celebrate differences and believe in fostering an environment where everyone feels valued, respected, and supported.
We know that diverse teams are stronger, more innovative, and more successful.
At Alight, we welcome and embrace all individuals, regardless of their background, and are dedicated to creating a culture that enables every employee to thrive.
Join us in building a brighter, more inclusive future.
Diversity Policy Statement
Alight is an Equal Employment Opportunity employer and does not discriminate against anyone based on sex, race, color, religion, creed, national origin, ancestry, age, physical or mental disability, medical condition, pregnancy, marital or domestic partner status, citizenship, military or veteran status, sexual orientation, gender, gender identity or expression, genetic information, or any other legally protected characteristics or conduct covered by federal, state or local law.
In addition, we take affirmative action to employ and advance in the employment of qualified minorities, women, disabled persons, disabled veterans and other covered veterans.
Alight provides reasonable accommodations to the known limitations of otherwise qualified employees and applicants for employment with disabilities and sincerely held religious beliefs, practices and observances, unless doing so would result in undue hardship.
Applicants for employment may request a reasonable accommodation / modification by contacting his / her recruiter.
Authorization to work in the Employing Country
Applicants for employment in the country in which they are applying (Employing Country) must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the Employing Country and with Alight.
Note, this job description does not restrict management's right to assign or reassign duties and responsibilities of this job to other entities;
including but not limited to subsidiaries, partners, or purchasers of Alight business units.
We offer you a competitive total rewards package, continuing education & training, and tremendous potential with a growing worldwide organization.
Salary Pay Range
Minimum : 72,200 USD
72,200 USD
Maximum : 114,500 USD
114,500 USD