Nurse Consultant

Posted Yesterday
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Lansing, MI, USA
Hybrid
Mid level
Insurance
The Role
Reviews medical records and provides nursing expertise to support injury claims investigation, evaluation, treatment utilization, and resolution. Trains claims staff, develops clinical programs, manages healthcare vendor relationships, and negotiates provider rates. Requires an active Michigan RN license, clinical experience, strong analytical and organizational skills, and proficiency with Microsoft Office. The role is initially in-person with potential hybrid work up to three days weekly from home.
Summary Generated by Built In

A career at Auto-Owners is challenging and rewarding.  Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.

Job Description

We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, this specific role could have the flexibility to work from home up to 3 days per week.


Auto-Owners Insurance, a top-rated insurance carrier, is seeking motivated nursing professional to join our team. The position requires the person to:

·        Collaborate with claims associates to provide medical expertise in the investigation, evaluation, and appropriate resolution of injury claims including workers’ compensation, personal injury protection (no fault), and liability.

·        Evaluate medical records for relatedness to the injury and appropriate utilization of medical treatment and services.

·        Prepare and deliver trainings to claims staff via a variety of modalities including written materials, live presentations, WebEx and/or telephonic presentations.

·        Identify opportunities, develop, and implement new clinical programs as well as improve existing programs and procedures.

·        Assist in developing and maintaining vendor and consultant expectations and relationships.

·        Negotiate rates with local healthcare providers including nursing homes, sub-acute facilities, and attendant care agencies.

·        Assist with other duties in the clinical team department, or elsewhere, on request. 

Desired Skills & Experience

  • Active Michigan RN license in good standing required, BSN highly preferred.  Certification as a Case Manager (CCM), Insurance Rehabilitation Specialist (CIRS), Disability Management Specialist (CDMS), Rehabilitation Nurse (CRRN), or Occupational Health Nurse (COHN) a plus.
  • Minimum of three to five years clinical experience required.  Strong clinical background in orthopedics, neurology, rehabilitation or trauma care is preferred.  Case management and insurance experience a plus.
  • Ability to communicate effectively in oral and written forms, read and interpret documents, and write routine reports and correspondence. Proficient computer skills including Microsoft Office products.  Teaching or training experience a plus.
  • Excellent problem resolution skills. This person should be able analyze details, make decisions, demonstrate innovativeness and continually seek more efficient ways to process and handle work for the benefit of the team.
  • Excellent organizational skills with the ability to manage multiple priorities.

Benefits

Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you!

 

Equal Employment Opportunity

Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law.



*Please note that the ability to work in the U.S. without current or future sponsorship is a requirement.


#LI-AT1 #LI-Hybrid

Skills Required

  • Active Michigan RN license in good standing
  • Minimum three to five years of clinical experience
  • Ability to communicate effectively orally and in writing
  • Ability to read and interpret documents and write routine reports and correspondence
  • Proficient computer skills, including Microsoft Office products
  • Excellent problem resolution and decision-making skills
  • Strong organizational skills and ability to manage multiple priorities
  • BSN
  • Clinical background in orthopedics, neurology, rehabilitation, or trauma care
  • Case management and insurance experience
  • Certification as CCM, CIRS, CDMS, CRRN, or COHN
  • Teaching or training experience

Auto-Owners Insurance Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Auto-Owners Insurance and has not been reviewed or approved by Auto-Owners Insurance.

  • Retirement Support — A fully-funded pension and a partially matched 401(k) are highlighted as core pillars of the package. These elements elevate long-term value beyond base pay.
  • Strong & Reliable Incentives — Profit-sharing bonuses and a Christmas bonus are positioned as recurring incentives that add to cash compensation. These incentives help offset concerns about base pay for some roles.
  • Healthcare Strength — Comprehensive medical, prescription, dental, and vision coverage is emphasized as a strong point. Wellness programs and an Employee Assistance Program further support health needs.

Auto-Owners Insurance Insights

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The Company
HQ: Lansing, MI
5,096 Employees
Year Founded: 1916

What We Do

We are a team of hard working associates and local, independent agents who are proud to be among the nation's largest insurers of Life, Home, Car, and Business; and consistently ranked as a Fortune 500 company since 2002. Our guiding core values lead us to success and have helped us achieve many industry service awards as well as our recent certification as a Great Place To Work®. Careers: As an Auto-Owners associate, you have the opportunity to thrive in our certified Great Place To Work® environment, while benefiting from a workplace that is stable, profitable and invests in you. Some perks you enjoy as an Auto-Owners associate include: • Less than a 40 hour work week • Educational opportunities • Working in a certified Great Place To Work® environment • On-site dining (Lansing location) • Professional growth opportunities To view employment opportunities with Auto-Owners Insurance, please go to: http://www.auto-owners.com/career-center/career-opportunities *Privacy information: https://www.auto-owners.com/privacy

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