RN/Registered Nurse -Clinical Operations Manager-Hybrid-Jersey City, NJ

Alight Solutions
US - New Jersey - Jackson
February 1, 2025
Medical

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. Alight helps clients gain a benefits advantage while building a healthy and financially secure workforce by unifying the benefits ecosystem across health, wealth, wellbeing, absence management and navigation.

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 .

RN- Nurse Team Manager (hybrid work arrangement)

As a Nurse Team Manager, you will be a be a member of our Clinical Center of Excellence. You will have the opportunity every day to provide high quality service by providing clinical expertise and serving as a critical link between all parties involved in disability cases.

The RN Nurse Team Manager will have team management responsibility, including coaching, guiding and leading a team of five nurses who manage multiple cases with varying degrees of complexity. This role will leverage clinical expertise to summarize and lead complex case presentation review meetings in direct partnership with the Medical Directors on site at a premier Fortune 100 client.

Responsibilities:

Serving as primary resource to lead a team of clinicians managing medical disability and accommodation cases.
Using MD Guidelines, which is the gold standard in clinical guidelines in this industry, facilitate medically sound decisions, ensure absence and disability claims are administered effectively, and deliver compassionate care to our client employees.
Consulting on medical, behavioral health, and accommodation claims as needed, if within the scope of licensure and clinical expertise.
A ssisting 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.
Acting as a liaison between all parties and client stakeholders required in case management to facilitate continuous communication and consensus.
Acting as liaison to client's Employee Assistance Program (EAP) to facilitate coordination of care and promote referrals to best in class behavioral health providers.
Providing documentation, feedback, and reports to diverse occupational populations with an underlying emphasis on returning medically able individuals to productive endeavor.
Managing consult caseload efficiently, organizes priorities, provides timely intervention, and maintain sensitivity to confidential records.
Supporting team in driving return to work process from beginning of case to closure.

Requirements/Skills:

Minimum of 5 years medical advisory experience in occupational health, disability, health case management, or utilization review.
Minimum of 2 years as a Clinical Case Manager.
Registered Nurse, Nurse Practitioner, or comparable license with experience, and with working knowledge of disability/absence management, client processes, and case management.
Must show evidence of appropriate degree and licensure.
Dedicated to providing high quality customer service, using diplomacy, patient advocacy, and professional competency.
Must be available for occasional escalations outside of normal business hours (max 8-10 occasions/year).

Location:

This role offers a hybrid work environment- onsite in Jersey City, NJ three days/week supporting a premier Fortune 100 client with the option to work from home two days/week. Relocation is available. Travel is not required.

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.

As part of this commitment, Alight will ensure that persons with disabilities are provided reasonable accommodations for the hiring process. If reasonable accommodation is needed, please contact . @alight. com .

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 sincere.

Read the full job description and apply online on the recuiter's web-site

RN/Registered Nurse -Clinical Operations Manager-Hybrid-Jersey City, NJ

RN/Registered Nurse -Clinical Operations Manager-Hybrid-Jersey City, NJ

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