Nurse Case Manager

Our story At Alight, we believe a company’s success starts with its people. At our core, we Champion People, help our colleagues Grow with Purpose and true to our name we encourage colleagues to “Be Alight.” Our Values: Champion People – be empathetic and help create a place where everyone belongs. Grow with purpose – Be inspired by our higher calling of improving lives. Be Alight – act with integrity, be real and empower others. It’s why we’re so driven to connect passion with purpose. Alight helps clients gain a benefits advantage while building a healthy and financially secure workforce by unifying the benefits ecosystem across health, wealth, wellbeing, absence management and navigation. With a comprehensive total rewards package, continuing education and training, and tremendous potential with a growing global organization, Alight is the perfect place to put your passion to work. Join our team if you Champion People, want to Grow with Purpose through acting with integrity and if you embody the meaning of Be Alight. Learn more at careers.alight.com . Medical Nurse Consultant: The Nurse Consultant functions as a member of our Clinical Center of Excellence and serves as a clinical consult nurse to our non-clinical disability claim examiners. This role provides clinical expertise and guidance to claim examiners as they manage short- and long-term disability claims. Using MD Guidelines, which is the gold standard in clinical guidelines in this industry, the Nurse Consultant facilitates medically sound decisions and case navigation strategies thus ensuring disability claims are adjudicated appropriately and employees returning to work within medically reasonable time frames. You will Serve as primary clinical resource on a team of claim examiner managing medical disability and accommodation cases. Provide consultation, feedback, and charting to assist claim examiners on understanding functional impairment related to employees’ jobs with an emphasis on returning medically able individuals back to work. Consults on medical claims within their scope of licensure and clinical expertise. Ability to clearly communicate claim decisions and contract language verbally and in written correspondence Excellent analytical, problem solving, and communication skills (verbal & written) essential Education and Experience: Registered Nurse, Nurse Practitioner, or comparable license with experience, with working knowledge of disability, client processes, and case management. Minimum of 3 years clinical with preferred in occupational health field. Preferred experience in disability claims management or Workers Compensation claim management. Dedicated to providing high quality customer service, using diplomacy, patient advocacy, and professional competency. Interested in working with a committed group of like-minded clinicians and leaders who are kind and care about one another as well as the health and well-being of our customers and employees. Must show evidence of appropriate degree Work Experience of 4 years + Ability to work evening/night shifts Minimum of 3 years clinical with preferred in occupational health field. Regulatory and Compliance experience a plus Alight requires all virtual interviews to be conducted on video. 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 several 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 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. As part of this commitment, Alight will ensure that persons with disabilities are provided reasonable accommodations for the hiring process. If reasonable accommodation is needed, please contact [email protected] . Equal Opportunity 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, 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 their 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. DISCLAIMER: Nothing in this job description restricts 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. .