Clinical Case Manager-RN
Alight Solutions, Trenton, NJ, United States
About The Role
The Clinical Case Manager‑RN will offer clinical expertise, act as a liaison in disability cases, and utilize MD Guidelines to support medically sound decisions. They will ensure effective administration of absence and disability claims while delivering compassionate care to client employees.
Responsibilities
Serving as primary resource on team managing medical disability and accommodation cases.
Delivering case presentations to a panel, utilizing compelling communication, critical thinking, negotiation, holistic case analysis, and proactive case management skills.
Displaying a professional/corporate presence and presentation style with the ability to demonstrate excellent problem‑solving skills when questioned on your case management plans.
Consulting on medical, behavioral health, and accommodation claims as needed, if within the scope of licensure and clinical expertise.
Supporting employee‑clients in making informed decisions through patient advocacy aligned with Medical Disability Guidelines (MDG), employer benefit plans, and disability management regulations.
Acting as a liaison between all parties required in case management to facilitate continuous communication and consensus.
Serving as a liaison to the client’s EAP, coordinating care, and encouraging referrals to top behavioral health providers.
Providing documentation, feedback, and reports to diverse occupational populations with an underlying emphasis on returning medically able individuals to productive endeavor.
Managing caseload efficiently, organizing priorities, providing timely interventions, and maintaining sensitivity to confidential records. Driving return‑to‑work process from beginning of case to closure.
Ensuring quality standards for case management are met and implementing Alight’s continuous quality improvement process whenever efficiencies or quality standards are not met.
Requirements
Be a Registered Nurse, Nurse Practitioner, or comparable license with experience, with working knowledge of disability, client processes, and case management.
Have a minimum of 5 years medical advisory experience in occupational health, worker compensation, disability, health case management, or utilization review.
Have a minimum of 2 years’ experience as a Clinical Case Manager.
Demonstrate dedication to providing high quality customer service, using diplomacy, patient advocacy, and professional competency.
Foster interest in collaborating with compassionate clinicians and leaders who prioritize mutual care and the well‑being of customers and employees.
Have relevant education and valid licensure.
Benefits
Alight offers a comprehensive total rewards package including health, dental and vision coverage starting Day One, wellbeing programs, retirement plans with contribution matching, generous time off, parental leave, continuing education, and career growth opportunities.
Salary Pay Range
Minimum: 95,000 USD
Maximum: 125,000 USD
Equal Opportunity Policy Statement
Alight is an Equal Employment Opportunity employer and does not discriminate against anyone based on sex, race, color, religion, creed, national origin, ancestry, age, physical or mental disability, medical condition, pregnancy, marital or domestic partner status, citizenship, military or veteran status, sexual orientation, gender, gender identity or expression, genetic information, or any other legally protected characteristics or conduct covered by federal, state, or local law. In addition, we take affirmative action to employ disabled persons, disabled veterans, and other covered veterans.
Authorization to Work in the Employing Country
Applicants for employment in the country in which they are applying must have work authorization that does not, now or in the future, require sponsorship of a visa for employment authorization in the Employing Country and with Alight.
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The Clinical Case Manager‑RN will offer clinical expertise, act as a liaison in disability cases, and utilize MD Guidelines to support medically sound decisions. They will ensure effective administration of absence and disability claims while delivering compassionate care to client employees.
Responsibilities
Serving as primary resource on team managing medical disability and accommodation cases.
Delivering case presentations to a panel, utilizing compelling communication, critical thinking, negotiation, holistic case analysis, and proactive case management skills.
Displaying a professional/corporate presence and presentation style with the ability to demonstrate excellent problem‑solving skills when questioned on your case management plans.
Consulting on medical, behavioral health, and accommodation claims as needed, if within the scope of licensure and clinical expertise.
Supporting employee‑clients in making informed decisions through patient advocacy aligned with Medical Disability Guidelines (MDG), employer benefit plans, and disability management regulations.
Acting as a liaison between all parties required in case management to facilitate continuous communication and consensus.
Serving as a liaison to the client’s EAP, coordinating care, and encouraging referrals to top behavioral health providers.
Providing documentation, feedback, and reports to diverse occupational populations with an underlying emphasis on returning medically able individuals to productive endeavor.
Managing caseload efficiently, organizing priorities, providing timely interventions, and maintaining sensitivity to confidential records. Driving return‑to‑work process from beginning of case to closure.
Ensuring quality standards for case management are met and implementing Alight’s continuous quality improvement process whenever efficiencies or quality standards are not met.
Requirements
Be a Registered Nurse, Nurse Practitioner, or comparable license with experience, with working knowledge of disability, client processes, and case management.
Have a minimum of 5 years medical advisory experience in occupational health, worker compensation, disability, health case management, or utilization review.
Have a minimum of 2 years’ experience as a Clinical Case Manager.
Demonstrate dedication to providing high quality customer service, using diplomacy, patient advocacy, and professional competency.
Foster interest in collaborating with compassionate clinicians and leaders who prioritize mutual care and the well‑being of customers and employees.
Have relevant education and valid licensure.
Benefits
Alight offers a comprehensive total rewards package including health, dental and vision coverage starting Day One, wellbeing programs, retirement plans with contribution matching, generous time off, parental leave, continuing education, and career growth opportunities.
Salary Pay Range
Minimum: 95,000 USD
Maximum: 125,000 USD
Equal Opportunity Policy Statement
Alight is an Equal Employment Opportunity employer and does not discriminate against anyone based on sex, race, color, religion, creed, national origin, ancestry, age, physical or mental disability, medical condition, pregnancy, marital or domestic partner status, citizenship, military or veteran status, sexual orientation, gender, gender identity or expression, genetic information, or any other legally protected characteristics or conduct covered by federal, state, or local law. In addition, we take affirmative action to employ disabled persons, disabled veterans, and other covered veterans.
Authorization to Work in the Employing Country
Applicants for employment in the country in which they are applying must have work authorization that does not, now or in the future, require sponsorship of a visa for employment authorization in the Employing Country and with Alight.
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