Nurse Disability Consultant at Omaha

About the Company

Lincoln Financial Group is a Fortune 500 company offering a diverse range of financial services and solutions. With a strong focus on four core business areas- life insurance, annuities, retirement plan services, and group protection- our business is built around supporting, preserving, and enhancing our customers lifestyles and providing better retirement outcomes. Led by over 8,000 employees, Lincoln Financial provides the tools and advice to help individuals take charge of their futures

The Role

As a Nurse Disability Consultant, you will be responsible for reviewing, analyzing and interpreting medical information available in Group Protection claims. You will be evaluating medical information to clarify diagnoses, evaluating the severity of medical conditions, validating medical restrictions and limitations and estimating duration of recovery. As a Nurse Disability Consultant, you will acts a clinical resource for Group Protection benefit specialists and claim professionals.

Responsibilities

Claim Consultation

Clarifies, interprets and/or evaluates medical information to assess appropriateness of current and ongoing restrictions / limitations and level of impairment.

Identifies pertinent clinical facts and answers questions in collaboration with benefits specialists and physician consultants.

Acts as a clinical resource to Group Protection claim professionals during claim meetings and as needed.

Recommends specific medical information needed to evaluate ongoing level of impairment and to facilitate optimal claim management.

Makes appropriate referrals to internal and external clinical resources (i.e. IME, FCE, Peer Reviews).

Discusses complex medical issues with health care providers as needed and documents outcomes of discussion.

Coordinates and partners with Vocational Rehabilitation Coordinators (VRC) and others to support with return to work services.

Communication

Demonstrates clear and concise verbal and written communication skills when interpreting medical information, documenting rationales for clinical opinions, clarifying restrictions and limitations and assisting with return to work.

Contacts claimants, employers, and health care providers, as indicated.

Training

Educates attending health care providers regarding the need for medical information to support restrictions and limitations.

Achieves and maintains professional continuing education units (CEUs) by attending educational seminars and other required LFG educational activities (i.e. ethics, confidentiality).

Supports Senior Nurse Disability Consultants in providing training and mentoring to new claims staff, peers and/or other claim professionals.

Sets goals with management for personal and professional growth and reassesses throughout the year.

Acts as a role model and coach through early assessment of medical issues, work capacity, and RTW opportunities.

 Requirements

Requirements

Education

• 
  Undergraduate degree or 4+ years of comparable work experience
• Educational experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management. Certified Disability Management Specialist (CDMS) or Associate Disability Management Specialist (ADMS), Certified Occupational Health Nurse (COHN), Certified Case Manager (CCM) designations preferred.

Experience

• 3-5+ years of experience of clinical nursing that directly aligns with the specific responsibilities for this position.
• A demonstrated track record of consistently meeting and/or exceeding performance expectations.
• Possesses a bias for action and avoids workplace distractions.
• Drives performance targets to completion.

Any unsolicited resumes/candidate profiles submitted through our web site or to personal e-mail accounts of employees of
Lincoln Financial Group are considered property of Lincoln Financial Group and are not subject to payment of agency fees.

Lincoln Financial Group (LFG) is an Equal Opportunity employer and, as such, is committed in policy and practice to
recruit, hire, compensate, train and promote, in all job classifications, without regard to race, color, religion,
sex (including pregnancy), age, national origin, disability, sexual orientation, gender identity and expression,
veterans status, or genetic information. Opportunities throughout LFG are available to employees and applicants and are
evaluated on the basis of job qualifications. We have a drug free work environment and we perform pre-employment
substance abuse testing.

This Employer Participates in E-Verify. www.uscis.gov/portal/site/uscis/menuitem.eb1d4c2a3e5b9ac89243c6a7543f6d1a/?vgnextoid=38700f4752f0a210VgnVCM100000082ca60aRCRD&vgnextchannel=38700f4752f0a210VgnVCM100000082ca60aRCRD">See the E-Verify notices. Este Empleador Participa en E-Verify. www.uscis.gov/portal/site/uscis/menuitem.eb1d4c2a3e5b9ac89243c6a7543f6d1a/?vgnextoid=38700f4752f0a210VgnVCM100000082ca60aRCRD&vgnextchannel=38700f4752f0a210VgnVCM100000082ca60aRCRD">Ver el E-Verify avisos.
Country: USA, State: Nebraska, City: Omaha, Company: Lincoln Financial Group.