Disability Clinical Specialist

1 week ago


Dubuque, Iowa, United States Access Dubuque Full time
Job Overview

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Access Dubuque means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial, and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Access Dubuque is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge, and above all, if you're someone who cares, there's a place for you here.

Key Responsibilities

  • Perform clinical evaluations, consult providers, and employees to provide case direction and ensure medical information substantiates the need for absence from work.
  • Provide clear and appropriate follow-up recommendations for ongoing medical management of claims, ensuring appropriate recommendations are made on claims.
  • Makes timely, appropriate contact with employee and/or providers to discuss employee's clinical status, progress, and work status.
  • Achieves appropriate quality audit scores on a consistent basis.
  • Acts as a clinical resource to colleagues within the program.

Requirements

  • Bachelor's degree or equivalent preferred. RN, & LPN's preferred. Current license, registration, and/or professional designations as required within the jurisdiction.
  • Four (4) years of related experience or equivalent combination of education and experience required to include experience in a direct medical/psychological setting or physical industrial medicine and previous insurance experience.
  • Knowledge of current medical practices in health care management in a variety of areas (including, but not limited to, orthopedics, general medicine for acute and chronic conditions, general surgery, mental health, obstetrics, oncology, and physical and occupational rehabilitation).
  • Oral and written communication, including presentation skills.
  • PC literate, including Microsoft Office products.
  • Analytical and interpretive skills.
  • Strong organizational skills.
  • Excellent interpersonal skills.
  • Ability to work in a team environment.
  • Ability to meet or exceed Performance Competencies.


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