Remote Accommodations Clinical Specialist- Bilingual Hindi, Japanese, Mandarin or more

Lensa - Montgomery, AL

Job Title: Remote Accommodations Clinical Specialist- Bilingual Hindi, Japanese, Mandarin or more

Position: Remote Accommodations Clinical Specialist

Job Type: Remote

Pay: $65,000 - $67,000 annual salary

Shift: Monday - Friday, 11:00 pm to 7:00 am CST

Work Type: Remote

Location

Address:

City: Montgomery

State: AL

ZIP Code:

Job Responsibilities

Perform standard clinical evaluations on claims that require additional review based on medical condition, client requirement, and/or complexity.
Consult with providers and employees by providing case direction and ensure medical information substantiates the need for employee absence from work.
Negotiate, facilitate and monitor successful return to work of claimants within appropriate disability duration and accommodation guidelines.
Evaluate complex claims to determine objective, quantifiable, medically supported work restrictions/accommodations.
Perform standard disability clinical reviews of referred medical claims to ensure accurate and sufficient information is received by employees and providers.
Complete medical reviews of all claims by assessing medical documentation and applying clinical knowledge to substantiate disability.
Communicate clearly and professionally with employees and providers regarding clinical status, progress, and work status.
Provide clear follow-up recommendations for ongoing medical management of claims.
Achieve high-quality audit scores consistently.
Act as a clinical resource to claims examiners and offer guidance on medical management of claims.

Required Skills

Core Skills

Good working knowledge of return-to-work or job accommodation procedures.
Good technical knowledge of claims management procedures.
Knowledge of current medical practices in health care management.
Excellent oral and written communication skills.
Proficient computer skills including Microsoft Office.
Analytical and interpretive skills.
Strong organizational and multitasking skills.

Preferred Skills

Excellent interpersonal skills.
Ability to exercise judgement and critical thinking skills.
Ability to work in a team environment.
Ability to meet or exceed Performance Competencies.

Requirements

Experience: Four (4) years of related experience or equivalent combination of education and experience required, including one (1) year of return-to-work or job accommodation experience.

Education: Bachelor's degree from an accredited college or university preferred.

License & Certification:

Current Certified Rehabilitation Counselor (CRC) or Registered Nurse (RN) license required.
Current license, registration and/or professional designations as required within the jurisdiction.

Schedule: