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Nurse Consultant

Role overview

Qualifications

  • Minimum of 3 years of experience in clinical nursing, working with an adult population
  • Current LPN or RN licensure – active and in good standing
  • Knowledge of medical terminology and procedures, CPT and ICD 9 coding
  • Associate degree required, Bachelor degree preferred

Responsibilities

  • Works telephonically with claimants, physicians, employers and customers to ensure strict adherence in determining functional abilities
  • Responsible for correlating the job duties, functional capability and the definition of disability per contact
  • Assesses medical records and treatment plans for all STD/LTD/FML claims, comparing duration control guidelines and clarifying functional inconsistencies
  • Provides recommendations regarding the claimants' current or potential functional abilities and develops a goal-focused return to work plan

Key facts

Other skills

  • Problem Solving
  • Non-Verbal Communication
  • Critical Thinking
  • Prioritization
  • Negotiation
  • Teamwork
  • Relationship Building

About the company

Metasys Technologies logo

Metasys Technologies

Digital Transformation Consulting

Metasys is a global digital consulting firm that specializes in delivering solutions across a variety of business functions, including HR, Procurement, Marketing, Finance, and Technology. With over twenty-five years of experience, we have helped companies of all sizes—from agile startups to established enterprises—achieve sustainable growth and operational efficiency. Our focus on best-in-class practices, cost-efficient strategies, and scalable support has enabled us to become a trusted partner to companies looking to transform their operations and scale effectively. Metasys is a portfolio company of Arkview Capital, a leading private equity firm.

Company details

Company typeSME
IndustryDigital Transformation Consulting
Company size501 - 1000

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Job description

Candidates who receive an offer will be required to successfully complete a background check and drug test as a condition of employment.

Nurse Consultant
5+Month Contract with possible extension
Fully Remote
LPN or RN Licensure must be active and in good standing for the entirety of the assignment.

Responsibilities
- Works telephonically with claimants, physicians, employers and customers to ensure strict adherence in determining functional abilities.
- Responsible for correlating the job duties, functional capability and the definition of disability per contact.
- Assess medical records and treatment plans for all STD/LTD/FML claims, comparing duration control guidelines and clarifying functional inconsistencies in order to determine residual abilities.
- Provides recommendations regarding the claimants' current or potential functional abilities and develops a goal-focused return to work plan.
- Provides education on medical and disability issues for all STD/lLTD/FML Claim Specialists.
- Prepares and implements Return to Work Plans and addresses barriers for return to work for all STD/LTD/FML claims.
- Facilitates communication among employee/physician/employer and partners with all parties in the medical treatment plan.
- Assesses and facilitates ongoing interventions covering medical, social, psychological and vocational areas for all STD/LTD/FML claims and refers as appropriate.
- Completes special projects as assigned by the manager.
- Works with management to identify and address continuing education needs.
- Serves as a visible leader in translating ***'s vision and values into practical business strategies.
- Demonstrates knowledge of, and supports, *** Disability mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality standards, and the code of ethical behavior.

Required Competencies:
- Must have a minimum of 3 years of experience in clinical nursing, working with an adult population.
- Disability insurance or workers compensation case management, private rehabilitation risk management, occupational health, rehabilitation medicine or home health care is highly preferred.
- Must possess excellent verbal and written communication skills. Must possess excellent analytical decision-making, problem solving and critical thinking skills.
- Must be able to prioritize work and meet deadlines.
- Ability to work independently and in a team environment. Ability to engage in effective negotiations and conflict resolution.
- Ability to work effectively and build relationships with various levels throughout the company.
- Ability to represent self and *** confidently and knowledgably to external partners both verbally and in writing.
- Knowledge of medical terminology and procedures, CPT and ICD 9 coding. Proficient in use of multiple systems and technology resources.
- Associate degree required, Bachelor degree preferred.
- Current LPN or RN licensure – active and in good standing


Metasys Technologies is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identify, national origin, veteran or disability status.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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