Clinical Case Manager

Our story

At Alight, we believe a company’s success starts with its people. At our core, we Champion People, help our colleagues Grow with Purpose and true to our name we encourage colleagues to “Be Alight.”

Our Values:

Champion People – be empathetic and help create a place where everyone belongs.

Grow with purpose – Be inspired by our higher calling of improving lives.

Be Alight – act with integrity, be real and empower others.

It’s why we’re so driven to connect passion with purpose. Our team’s expertise in human insights and cloud technology gives companies and employees around the world the ability to power confident decisions, for life.

With a comprehensive total rewards package, continuing education and training, and tremendous potential with a growing global organization, Alight is the perfect place to put your passion to work.

Join our team if you Champion People, want to Grow with Purpose through acting with integrity and if you embody the meaning of Be Alight.

Learn more at careers.alight.com.

Clinical Case Manager

The Clinical Case Manager will be a member of our Clinical Center of Excellence. This role will provide clinical expertise and serve as a critical link between all parties involved in disability cases. Using MDGuidelines, which is the gold standard in clinical guidelines in this industry, the Clinical Case Manager will facilitate medically sound decisions, ensure absence and disability claims are administered effectively, and deliver compassionate care to our client employees.

You will

· Serve as primary resource on team managing medical disability and accommodation cases.

· Present cases to a panel that includes physicians in weekly “round table/touch point” meetings which requires dynamic communication, critical thinking, negotiation skills, holistic case conceptualization, and proactive case management planning.

· Display a professional/corporate presence and presentation style with the ability to demonstrate excellent problem-solving skills when questioned on your case management plans.

· Consult on medical, behavioral health, and accommodation claims as needed, if within the scope of licensure and clinical expertise.

· Assist employee-client in making informed choices via patient advocacy in alignment with Medical Disability Guidelines (MDG) and employer-based benefit plans and/or laws regulating disability management.

· Act as a liaison between all parties required in case management to facilitate continuous communication and consensus.

· Act as liaison to client’s Employee Assistance Program (EAP) to facilitate coordination of care and promote referrals to best in class behavioral health providers.

· Provide documentation, feedback, and reports to diverse occupational populations with an underlying emphasis on returning medically able individuals to productive endeavor.

· Manage caseload efficiently, organizes priorities, provides timely intervention and maintains sensitivity to confidential records.

· Ensure quality standards for case management are met; implement Reed Group’s continuous quality improvement process whenever efficiencies or quality standards are not met.

· Drive return to work process from beginning of case to closure.

You have

· Registered Nurse, Nurse Practitioner, or comparable license with experience, with working knowledge of disability, client processes, and case management.

· Minimum of 5 years medical advisory experience in occupational health, worker compensation, disability, health case management, or utilization review.

· Minimum of 2 years as a Clinical Case Manager.

· Dedicated to providing high quality customer service, using diplomacy, patient advocacy, and professional competency.

· Interested in working with a committed group of like-minded clinicians and leaders who are kind and care about one another as well as the health and well-being of our customers and employees.

· Must show evidence of appropriate degree and licensure.

· Must be available for occasional escalations outside of normal business hours (max 8-10 occasions/year).

Location

· Hybrid (Jersey City, NJ)

Flexible Working

So that you can be your best at work and home, we consider flexible working arrangements wherever possible. Alight has been a leader in the flexible workspace and “Top 100 Company for Remote Jobs” 5 years in a row.

Benefits

We offer programs and plans for a healthy mind, body, wallet and life because it’s important our benefits care for the whole person. Options include a variety of health coverage options, wellbeing and support programs, retirement, vacation and sick leave, maternity, paternity & adoption leave, continuing education and training as well as a number of voluntary benefit options.

By applying for a position with Alight, you understand that, should you be made an offer, it will be contingent on your undergoing and successfully completing a background check consistent with Alight’s employment policies. Background checks may include some or all the following based on the nature of the position: SSN/SIN validation, education verification, employment verification, and criminal check, search against global sanctions and government watch lists, credit check, and/or drug test. You will be notified during the hiring process which checks are required by the position.

Our commitment to Diversity and Inclusion

Alight is committed to diversity, equity, and inclusion. We celebrate differences and believe in fostering an environment where everyone feels valued, respected, and supported. We know that diverse teams are stronger, more innovative, and more successful.

At Alight, we welcome and embrace all individuals, regardless of their background, and are dedicated to creating a culture that enables every employee to thrive. Join us in building a brighter, more inclusive future.

Diversity 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 and advance in the employment of qualified minorities, women, disabled persons, disabled veterans and other covered veterans.

Alight provides reasonable accommodations to the known limitations of otherwise qualified employees and applicants for employment with disabilities and sincerely held religious beliefs, practices and observances, unless doing so would result in undue hardship. Applicants for employment may request a reasonable accommodation/modification by contacting his/her recruiter.

Authorization to work in the Employing Country

Applicants for employment in the country in which they are applying (Employing Country) 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.

Note, this job description does not restrict management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of Alight business units.