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Crawford & Company in

Clinical Advocate

Crawford & Company in, Peachtree Corners, Georgia, United States

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Work from Home Competitive Pay + Quarterly Bonus Opportunities Free CEUs to keep your license & certifications current License & Certification Reimbursement

We're looking for a Registered Nurse with a passion for case management to join our team! ✨ RN degree required ✨ National Certification preferred (CCM, CRC, COHN, CRRC) ✨ Workers' Comp Case Management experience a plus ✨ For Vocational Clinical Advocates: Master's degree in vocational counseling or rehabilitation counseling preferred

Your Impact: Help injured individuals get the best care by:

Reviewing injury events & guiding medical management

Collaborating with Claims Adjusters & Case Managers

Coordinating return-to-work programs

Driving outcomes on complex claims & analytics projects

Clinical Advocate (Finance) Now Hiring: Clinical Care Advocate (RN) Work from Home Competitive Pay + Quarterly Bonus Opportunities Free CEUs to keep your license & certifications current License & Certification Reimbursement

We're looking for a Registered Nurse with a passion for case management to join our team! ✨ RN degree required ✨ National Certification preferred (CCM, CRC, COHN, CRRC) ✨ Workers' Comp Case Management experience a plus ✨ For Vocational Clinical Advocates: Master's degree in vocational counseling or rehabilitation counseling preferred

Your Impact: Help injured individuals get the best care by:

Reviewing injury events & guiding medical management

Collaborating with Claims Adjusters & Case Managers

Coordinating return-to-work programs

Driving outcomes on complex claims & analytics projects

This is your chance to grow your career, earn great rewards, and enjoy true work-life balance.

Apply today and make an impact!

Bachelor's degree in a health-related field is required. Bachelor's degree in Nursing preferred.

National certifications like CRC, CDMS and CCM is preferred.

For Vocational Clinical Advocates, a master's degree in vocational counseling, or rehabilitation counseling is preferred.

For a Nursing Clinical Advocates, a valid RN license is required. Individuals must hold an active, registered nurse professional license without restrictions to practice as a health professional in a state or territory of the United States.

Minimum 3-4 years full time clinical experience as it relates to leave and disability claims clinical review.

Demonstrated ability to handle complex assignments and ability to work independently is required.

Effective oral and written communication skills are required.

Thorough understanding of leave and disability matters and advanced knowledge about workplace restrictions and modifications.

Ability to exert positive influence in all areas of RTW negotiation and coordination

Advanced communications and interpersonal skills in order to conduct training, provide mentorship, and assist supervisor in general areas as assigned.

Highly skilled at promoting leave and disability products and services internally and externally.

Reviews claim documentation and reports, collects and analyzes medical data, assesses client's leave and disability status

Evaluates claimant's functionality based on medical information received and reviews job description when considering return to work plans

Demonstrates ability to meet or surpass administrative requirements, including productivity, time management, quality assessment (QA) standards with a minimum of supervisory intervention

Establishes a professional working relationship with the claimant, treating provider, client representatives and the claim team members. Coordinates return to work plans with the claim team and parties above

May recommend and facilitate additional services, peer reviews, IME's, ergonomic and vocational assessments as needed

Provides analysis of restrictions and limitations submitted and makes recommendations to facilitate rehabilitation goals and RTW. Strong focus given to modified RTW to help transition claimant back to full duty

Maintains contact and communicates with claims teams to apprise them of case activity, or to receive authorization for additional services

Reviews cases with immediate supervisor and claim team monthly to evaluate file and obtain direction

Responsible for documentation in claims system with focus on clinical assessment, RTW goals, scheduling follow up contacts, and providing guidance to the claim team

May perform other related duties as assigned

Upholds the Crawford Code of Conduct

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