Clinical Case Manager (Remote - ET)

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.”

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

ReedGroup is a growing, dynamic organization and the top provider in the Absence Management industry, providing our services to major companies including a substantial number of Fortune 100 companies. We create a seamless experience so clients can excel at their jobs and better serve their employees – supporting a thriving, engaged, and skilled workforce. We are committed to improving health and productivity outcomes while controlling costs - it is at the core of our comprehensive solutions which are designed to return people to their active lifestyles and allow businesses to thrive.

Please be advised that ReedGroup is presently hiring for these positions, but you will become an Alight employee who receives Alight policies, practices, and benefit programs.

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; must include disability (STD and/or LTD).
• 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

• This role offers a Remote work environment.

About ReedGroup
As the largest exclusive provider of absence management services, ReedGroup has been dedicated to helping employees return to work safely for more than 40 years. We create a seamless experience so clients can excel at their jobs and better serve their employees – supporting a thriving, engaged, and skilled workforce.
ReedGroup is an Alight Company.
Equal Employment Opportunity ReedGroup is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.
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 believes diversity should be visible, valued, and sustained throughout the organization. And we’re committed to enabling an inclusive culture of belonging that engages all colleagues and grows the diversity of our talent to proudly represent the clients and communities we serve.
As an affirmative action employer, we adhere to the principles of equal employment opportunity in the workplace as defined in our diversity policy statement.
Diversity Policy Statement
Alight does not discriminate against anyone based on sex, gender, 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 employment 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.
We offer you a competitive total rewards package, continuing education & training, and tremendous potential with a growing worldwide organization.
Pay Transparency Statement: Alight takes into consideration a candidate’s experience, education, certification/credentials, market data, internal equity, and geography when determining an offer for a successful employment candidate, and Alight does so on an individualized, non-discriminatory basis. Therefore, an offer may fall anywhere between the estimated minimum base salary for this role of $80,200.00/year (for full time employees) and the estimated maximum base salary for this role of $148,800.00/year (for full-time employees). Alight also offers a comprehensive benefits package; for specific details on our benefits package, please visit: https://careers.alight.com/us/en/alight-us-benefits-2023*
DISCLAIMER:*
Nothing in this job description restricts 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.
Alight Solutions provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, pregnancy, childbirth or related medical condition, veteran, marital, parental, citizenship, or domestic partner status, or any other status protected by applicable national, federal, state or local law. Alight Solutions is committed to a diverse workforce and is an affirmative action employer.

Job Type: Full-time

Pay: $80,200.00 - $148,800.00 per year

Experience:

• Case Management/Medical Advisory: 5 years (Required)
• Disability Case Management (STD and/or LTD): 5 years (Required)

License/Certification:

• RN, Nurse Practitioner, or Physician Assistant License (Required)

Work Location: Remote