State Licensed Clinical Care Consultant

Job Summary

A company is looking for a Clinical Care Consultant - WBI - Remote.

Key Responsibilities

• Conduct clinical assessments for short- and long-term disability claims
• Provide clinical input through various communication methods and recommend necessary evaluations
• Document claim files and guide Claims staff on required medical documentation

Required Qualifications

• High school diploma and nursing degree from an accredited institution required
• Active RN license(s)
• At least 2 years of direct clinical care experience in an acute care setting
• Minimum 1 year of clinical consulting experience in a disability claims environment
• Understanding of CPT, ICD 9, and ICD 10 coding within claims contexts