Registered Nurse, Disability Review Team Lead Job Listing at Prudential in Portland, ME

Insurance, Finance

The Team Lead, Clinical Support Reports to Director,Clinical Services and is administratively responsible for a sub-group of Clinicians to include supervisory functions such as:

• Regular 1:1 discussions with direct reports,
  


• Performance appraisals,
  


• Development planning,
  


• Counseling and coaching with direct reports.
  

Functions as an expert medical resource for Clinical staff and for claim organizations throughout Group Insurance.

Level of review may vary from a claims discussion setting to a comprehensive file review.

Provides claim management staff with medical insight and education to assist them in determining appropriate next medical management steps.

This would include professional evaluation of highly complex, illness & injury claims for functional capacity assessments, prognosis for recovery or increased capacity, assessment and/or identification of restrictions & limitations, based on physiological, psychological and social factors, to assist claim management staff in their claim handling activities.

Manages a modified assignment when business needs dictate due to volume or for absence coverage.

• RN designation
  
• 7-10 years of relevant clinical and or industry experience
  
• Able to lead, facilitate and participate in relevant department, division and Group Insurance projects
  
• Possess excellent analytical skills
  
• Possess high level of organizational awareness, ability to partner effectively with all levels of claim and clinical/vocational staff and management
  
• Possess excellent communication, presentation skills and time management and leadership skills
  
• Possess creative thinking skills and courage.
  
• People management experience highly desirable
  

 
This is not a Utilization Review position.