Disability Clinical Specialist occupation at Sedgwickcms in Eden Prairie

Sedgwickcms is employing Disability Clinical Specialist on Thu, 21 Mar 2013 23:11:03 GMT. Disability Clinical Consultant CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick is the...

Disability Clinical Specialist

Location: Eden Prairie Minnesota

Description: Sedgwickcms is employing Disability Clinical Specialist right now, this occupation will be placed in Minnesota. Detailed specification about this occupation opportunity kindly see the descriptions. Disability Clinical Consultant
CLAIM YOUR FUTURE AS A GREAT PERFORMER!
Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere! , Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick is the place for you. As the largest and most innovative Third Party Administrator in the claims industry and the first and only TPA to receive both recognition as the Best TPA in America and the coveted Employer of Choice designation, we invite you to come be a part of our team and, “Claim Your Future.”
PRIMARY PURPOSE : To perform clinical evaluations, consult providers and employees; to provide case direction; and to ensure medical information substantiates the need for absence from work.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Performs clinical review of referred claims; documents decision rationale; and completes medical review of all claims to ensure information substantiates disability.
Provides clear and appropriate follow-! up recommendations for ongoing medical management of claims; e! nsures 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 clinical resource to colleagues within the program.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
Performs other duties as assigned.
Supports the organization's quality program(s).
Travels as required.
QUALIFICATIONS
Education & Licensing
BS/BA or equivalent preferred. RN, LVN, CRC, COHN CVE, LPC and/or LCSW preferred. Current license, registration and/or professional designations as required within the jurisdiction. Clinical expertise must be kept current by acquisition of the necessary CEUs to maintain licenses and designations.
Experience
Five (5) years experience in a direct medical/psychological setting or physical industrial medicine and previous insurance experience or! related experience required.
Skills & Knowledge
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
WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple prioritie! s simultaneously; and ability to meet deadlines
Physical: Co! mputer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking

NOTE : Credit security clearance, confirmed via a background credit check, is required for this position. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick is an Equal Opportunity Employer
and a
Drug-Free Workplace

Additional Information:
NA
- .
If you were eligible to this occupation, please email us your resume, with salary requirements and a resume to Sedgwickcms.

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This occupation starts available on: Thu, 21 Mar 2013 23:11:03 GMT

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