Registered Nurse - Hometown, United States - Metasys Technologies, Inc.

    Metasys Technologies, Inc.
    Metasys Technologies, Inc. Hometown, United States

    2 weeks ago

    Default job background
    Description

    Description:

    **Part time 20 hours per week

    **Fully virtual/ REMOTE role - hours are flexible

    6+ months contract

    Job ID:

    **Current RN licensure required and required to be maintained throughout length of assignment

    Required

    · Moderate knowledge of computer systems - computer literacy.

    · Strong written/verbal communication.

    · Current RN licensure

    · 4+ years of experience as an RN

    · Disability claims experience or worker's comp claims experience

    · Possess strong knowledge of medical conditions, symptoms, and terminology.

    Preferred

    · BSN

    · 7+ years Disability claims and/or clinical experience.

    · Preferred designations CCM (certified case management) and/or CDMS (certified disability management specialist).

    Job Description:

    Role Value Proposition:

    At ***, we seek to make a meaningful impact in the lives of our customers and our communities. The Global Technology & Operations group (GTO) is a diverse team of engineers, developers, business analysts, claims analysts and project managers with the freedom to create innovative and solutions to address core business challenges with ***. This role will work with claimants, physicians, employers, and customers to ensure strict adherence in determining functional abilities.

    Key Responsibilities:

    · Provides professional medical, technical, consulting advice, and recommendations in support of claims evaluation, investigation, and assessment for various claims-related departments, while managing assigned caseload of complex case applying specialized training and knowledge to the assessment of cases and acting as a resource on clinical and technical issues.

    · Conducts complex research, review and analysis of medical records, treatment plans and claim information.

    · Provides recommendations regarding claimants' current potential functional abilities.

    · Engages claimants, healthcare providers, employers and customers to ensure strict adherence in determining functional abilities.

    · Creates effective requests for medical information which focus on clarifying medical restrictions and limitations and their impact on work functionality.

    • · Performs other related duties as assigned or required