RN Consultant Sr - Professional Liability
Recruiting Only - Telecommuter, United States
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. Itās an opportunity to do something meaningful, each and every day. Itās having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.Ā
A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if youāre someone who cares, thereās a place for you here. Join us and contribute to Sedgwick being a great place to work.
Great Place to WorkĀ®
Most Loved WorkplaceĀ®Ā
Forbes Best-in-State Employer
PRIMARY PURPOSE: To handle complex or high exposure claim issues; to provide medical knowledge of the health care system and health care issues; to independently investigate, analyze and evaluate medical malpractice claims for self-insured and commercially insured clients; to provide information needed to clients as needed to determine liability issues and exposure; and to assist in identification of risk management issues to decrease liability exposure and associated legal costs.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Handles complex or high exposure claim issues; advises and leads Nurse Consultant - PL colleagues.
- Receives requests for investigation; reviews and develops action plans and investigates cases accordingly.
- Collects data from Company and clients to document and communicate results as appropriate.
- Prepares reports summarizing medical records and interviews; outlines issues related to summary reports; and provides analysis and recommendations for further claims handling.
- Interviews practitioners involved in medical malpractice claims at hospital facilities weekly as needed.
- Participates in follow-up review and investigation as directed and assists in discovery requests as needed.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
- Performs other duties as assigned.
- Supports the organization's quality program(s).
- Travels as required.
QUALIFICATIONS
Education & Licensing
Bachelor's degree from an accredited college or university preferred. RN license required. LNC (Legal Nurse Consultant) Certification or training preferred.
Experience
Five (5) years related clinical nursing experience and two (2) years nurse consultant experience required. General or Professional ā¦
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Telecommuter
Benefits/Perks401k and matching Career growth Comprehensive benefits Comprehensive benefits package Dental Disability Employee assistance Flexibility Flexible Spending Health savings account Inclusive environment Life Insurance Medical PTO Support for mental and physical needs Vision Voluntary benefits
Tasks- Communicate Results
- Determine liability
- Handle complex claims
- Prepare reports
- Travel as required
Action plans Analysis Analytical Claims handling Claims investigation Clinical Nursing Communication Disability Discovery Discretion Flexibility Insurance Interpersonal Interpretive Investigation IT Judgment Keyboarding Liability Management Medical Knowledge Medical malpractice Microsoft Office Microsoft Office products Nursing Organizational PC literate Performance competencies Presentation Professional liability Risk Management RN Training Troubleshooting Written communication
Experience7 years
EducationBachelor's degree Health RN RN license
CertificationsLegal Nurse Consultant RN License
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9