RN Clinical Specialist

Job Summary

To support a growing team, the full-time remote Associate Claims Clinical Specialist will review clinical assessments, develop plans of care for long-term care insurance, and engage with claimants and their families to discuss health updates and care needs.

Key responsibilities

• Review clinical assessments to determine chronic illness status and create supporting documentation for plans of care
• Collaborate with field assessors and facility staff to gather additional information on claimants' health statuses
• Conduct telephonic assessments and communicate updates to claimants, family members, and facility staff

Required qualifications

• Current RN license in a Nursing License Compact state with licensure in their residential state
• A minimum of 3 years of professional clinical experience in case management, home care, or rehabilitation, preferably with a geriatric population
• Strong knowledge of Microsoft applications, including Outlook and Word
• Ability to manage inbound and outbound calls effectively while discussing care needs
• Robust critical thinking skills and the ability to make independent decisions