16 days old

Nurse Disability Consultant

Lincoln Financial Group
Dover, NH 03820
  • Job Code
    09938019322
Alternate Locations:Charlotte, NC (North Carolina); Dover, NH (New Hampshire); Omaha, NE (Nebraska); Phoenix, AZ (Arizona)

Relocation assistance is not available for this opportunity.

Level: P3

Requisition #64402

About the Company

Lincoln Financial Group, a Fortune 250 company with over 10,000 employees, provides advice and solutions that help empower Americans to take charge of their financial lives with confidence. Our core business areas Life Insurance, Annuities, Retirement Plan Services and Group Protection focus on supporting, preserving and enhancing over 17 million customers lifestyles and retirement outcomes.

Headquartered in Radnor, Pennsylvania, Lincoln Financial Group is the marketing name for Lincoln National Corporation (NYSE: LNC) and its affiliates. The company had $238 billion in assets under management as of December 31, 2018.

Ranked one of the Best Large Employers in America by Forbes magazine, Lincoln Financial Group makes a serious investment in our employees futures through a broad range of wealth accumulation and protection plans, health and wellness programs, and career development resources designed to help each individual reach their personal and professional goals.

General Purpose of Job

This position will act as a resource to Claims teams to review, analyze and interpret medical information available in claims. S/he will analyze medical information to clarify diagnoses, evaluate the severity of medical conditions, validate medical restrictions and limitations, and estimate duration of recovery.

Duties and Responsibilities

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

Acts as a resource, shares knowledge and coaches other nurses and internal stakeholders through early assessment of medical issues, work capacity, and return to work (RTW) opportunities.

Champions and enhances organizational initiatives by positively influencing and supporting change management and/or departmental/enterprise initiatives within assigned area(s) of responsibility.

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

Consults/Analyze on more complex assignments and/or projects for his/her assigned area(s) of responsibility.

Coordinates and partners with internal/external stakeholders and others to support with return to work services.

Discusses more complex medical issues with health care providers as needed, documents outcomes of discussion and interprets and renders a clinical assessment.

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

Gathers clinical information through communicating with claimants and health care providers to obtain needed or missing medical information, as indicated.

Identifies and recommends process improvements that significantly reduce workloads or improve quality for his/her assigned area(s) of responsibility.

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

Maintains knowledge on current and emerging developments/trends for assigned area(s) of responsibility, assesses the impact, and collaborates with management to incorporate new trends and developments in current and future solutions.

Makes appropriate referrals to internal and external clinical resources.

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

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

Serves as a clinical resource for benefits specialist and claims professionals.

Serves as a resource to team members and applicable internal/external stakeholders on more complex assignments/projects for his/her assigned area(s) of responsibility.

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

Supports team members in providing training and mentoring to new claims staff, peers and/or other claim professionals.

Additional Position Responsibilities

Carries out duties in compliance with all state and federal regulations and guidelines. Complies with all company and site policies and procedures.

Makes a positive contribution as demonstrated by: - Making suggestions for improvement - Learning new skills, procedures and processes

Performs other duties as required.

Remains current in profession and industry trends.

Other Skills and Abilities

Ability to review, synthesize and summarize medical information to assess level of functional impairment.

Ability to work with others in a team environment.

Ability to learn corporate claim management system.

Ability to perform under stress in cases of emergency, critical or hazardous situations.

Demonstrated strong relationship management skills with internal clients (e.g. management, peers and colleagues); proven ability to develop collaborative approaches.

Demonstrates ability to identify and recommend processes improvements.

Demonstrates excellent organizational skills with the ability to prioritize workload and multi-task while maintaining strict attention to detail.

Demonstrates strong interpersonal skills with a collaborative style.

Demonstrates the ability to use sound judgment and discretion regarding confidential information.

Disability Management (STD/LTD) knowledge.

Finds common ground and can gain collaboration among management, colleagues and peers; can influence outcomes without directing or commanding.

Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook).

Strong project management skills including, critical ability to coordinate and balance multiple projects in a time-sensitive environment, under pressure, and meeting deadlines.

Successfully completes regulatory and job training requirements.

Education

4 Year/Bachelor's degree or equivalent work experience (4 years of experience in lieu of Bachelor's) - Minimum Required

Certifications

Experience

3 - 5+ Years of experience in clinical nursing that directly aligns with the specific responsibilities for this position (Required )

This position may be subject to Lincolns Political Contribution Policy. An offer of employment may be contingent upon disclosing to Lincoln the details of certain political contributions. Lincoln may decline to extend an offer or terminate employment for this role if it determines political contributions made could have an adverse impact on Lincolns current or future business interests, misrepresentations were made, or for failure to fully disclose applicable political contributions and or fundraising activities.

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. Applicants are evaluated on the basis of job qualifications. If you are a person with a disability that impedes your ability to express your interest for a position through our online application process, or require TTY/TDD assistance, contact us by calling 260-455-2558.

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Posted: 2020-10-04 Expires: 2020-11-02
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Nurse Disability Consultant

Lincoln Financial Group
Dover, NH 03820

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