** This position requires 2 years of experience in Utilization Review, Quality or Care Management, Disability Plans, FMLA and ADAA

Join the Cleveland Clinic team where you will work alongside passionate caregivers and provide patient-first healthcare. Here, you will receive endless support and appreciation while building a rewarding career with one of the most respected healthcare organizations in the world.

As Disability Plan Nurse, you will primarily review short-term disability request forms based on the recovery period, correspond with the requesting physician, identify complications associated with procedures and monitor employee outcomes. Typically, you may work with 20 to 30 claims every day, so attention to detail and multi-tasking skills are essential. Utilizing your understanding of reviewing Epic notes, discharge summaries and procedure notes gained from your nursing/clinical roots, you will ensure your interactions with all caregivers and customers are supportive and understanding. On this team, you will find a collaborative dynamic, with each member actively encouraging growth and excellence.

A caregiver in this position works remotely from 8:00AM – 5:00PM, with a hybrid schedule during training.

A caregiver who excels in this role will:

• Utilize clinical expertise to achieve quality outcomes in a cost effective manner for the disability plans.
• Review leave of absence documentation provided by physicians, nurses, social workers, dietitians and other members of the health care team to achieve appropriate utilization of benefit plans.
• Prepare background and medical data for use in committee review and related processes.
• Monitor and evaluate care delivery and employee responses to ensure critical and/or recovery is following normal and customary courses.
• Track and record employee's progress and identify variances.
• Modify benefit coverage periods in case of complications.
• Ensure documentation of the revised benefit coverage period is provided to employee and supervisor.
• Manage each employee's transition throughout the benefit period to ensure compliance with polices.

Minimum qualifications for the ideal future caregiver include:

• Graduate from an accredited school of Professional Nursing
• Current state licensure as a Registered Nurse (RN)
• Three years of clinical nursing experience
• Two years of experience in Utilization Review, Quality or Care Management, Disability Plans, FMLA and ADAA

Preferred qualifications for the ideal future caregiver include:

• Bachelor’s of Science in Nursing (BSN)
• Case Management or Care Utilization experience

Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we’re dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/

Physical Requirements:

• Working in a stationary position for extended periods
• Traveling throughout the hospital system, other locations and international locations as needed
• Operating a computer, audio visual and other office equipment
• Ability to communicate and exchange accurate information, including delivering any applicable training in person and virtually
• In some locations, moving objects up to 25 pounds

Personal Protective Equipment:

• Follow standard precautions using personal protective equipment as required