US RN – Clinical Case Management & Product Support

Company:Mercer

Description:

We are seeking a talented Registered Nurse Consultant to join our MercerWell team at Mercer. This role will be based in the Philippines. This is a hybrid role that has a requirement of working at least three days a week in the office.

As a Registered Nurse Consultant, you will impact patient outcomes by providing guidance to benefit administrators on opportunities for improved care coordination and case management. You will oversee the implementation of action plans to ensure administrator accountability and recognize areas where performance aligns with or exceeds best practices.

We will count on you to:

• Establish effective carrier/vendor relationships with assigned book of business to successfully represent Mercer and to serve our clients.

• Communicate Mercer's point of view on effective clinical management program models and strategies to manage potential and actual high-cost claimants.

• Bring a natural curiosity and continuous quality improvement mindset to evolve and enhance the clinical strategy and delivery of assigned book of business.

• Interpret claims and other data reports leveraging this information to effectively manage assigned book of business.

• Lead case discussions with the benefit administrators’ clinical teams to identify strengths and opportunities in how the case is being managed and offer suggestions to shape the course of the member’s care moving forward.

• Synthesize available data, develop engaging reports / presentations, effectively present results to clients in a clear and constructive manner using formats that allow for tracking results over-time to support continuous process improvement.

What you need to have:

• Associate or Bachelor’s degree in Nursing required, with an active, unrestricted U.S. RN or Philippine RN license.

• Minimum of 5 years of relevant work experience in case management, clinical consulting, clinical carrier related experiences (quality assurance, clinical auditing, clinical leadership, stop loss).

• Proven project management, verbal and written skills with strong clinical acumen.

• Ability to analyze clinical data and metrics.

What makes you stand out:

• Master’s level degree in related field preferred.

• Case manager certification.

• Prior experience performing clinical program assessments or working with stop loss cases.

Why join our team:

• We help you be your best through professional development opportunities, interesting work and supportive leaders.

•  We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities.

• Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.

Marsh (NYSE: MRSH) is a global leader in risk, reinsurance and capital, people and investments, and management consulting, advising clients in 130 countries. With annual revenue of over $27 billion and more than 95,000 colleagues, Marsh helps build the confidence to thrive through the power of perspective. For more information, visit marsh.com, or follow us on LinkedIn and X.

Marsh is committed to creating a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age, background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, or any other characteristic protected by applicable law.

Marsh is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person.