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Disability Plan Nurse – Total Rewards

Disability Plan Nurse – Total Rewards

CompanyCleveland Clinic
LocationOrange, OH, USA
Salary$Not Provided – $Not Provided
TypeFull-Time
DegreesBachelor’s
Experience LevelJunior, Mid Level

Requirements

  • Graduate from an accredited school of Professional Nursing
  • Current state licensure as a Registered Nurse (RN)
  • Three years of clinical nursing experience
  • Two years of experience in Utilization Review, Quality or Care Management, Disability Plans, FMLA and ADAA

Responsibilities

  • Review short-term disability request forms based on the recovery period
  • Correspond with the requesting physician
  • Identify complications associated with procedures
  • Monitor employee outcomes
  • Utilize clinical expertise to achieve quality outcomes in a cost effective manner for the disability plans
  • Review leave of absence documentation provided by healthcare team members
  • Prepare background and medical data for committee review
  • Monitor and evaluate care delivery and employee responses
  • Track and record employee’s progress and identify variances
  • Modify benefit coverage periods in case of complications
  • Ensure documentation of the revised benefit coverage period is provided to employee and supervisor
  • Manage each employee’s transition throughout the benefit period to ensure compliance with policies

Preferred Qualifications

  • Bachelor’s of Science in Nursing (BSN)
  • Case Management or Care Utilization experience