• RN - Clinical Support Consultant

    MetLife (Oriskany, NY)


    Must be within a commutable distance of the Oriskany, NY, Tampa, FL, Cary, NC, Aurora, IL, Bloomfield, CT, office location

     

    In office once a month for meetings

    Training - 8 - 10 weeks, M-F virtual (8 - 4pm) EST

    Shift: 8 hour day + 1/2 hour lunch. Start time flexible from 7 - 9am EST.

     

    Start Date: 03/2/2026

    Key Responsibilities:

    • Provides professional medical, technical, consulting advice, and recommendations in support of claims evaluation, investigation and assessment for various claims-related departments, while managing assigned caseload of complex case applying specialized training and knowledge to the assessment of cases and acting as a resource on clinical and technical issues.

    • Conducts complex research, review and analysis of medical records, treatment plans and claim information.

    • Provides recommendations regarding claimants’ current potential functional abilities and develops goal-focused return-to-work plan.

    • Assess training needs and creates, authors and presents medical training to claim and business partner associates.

    • Engages claimants, healthcare providers, employers and customers to ensure strict adherence in determining functional abilities.

    • Engages claimants, health care providers and employers in return to work potential and planning while coaching claim specialists on identifying and acting upon return to work potential.

    • Creates effective requests for medical information which focus on clarifying medical restrictions and limitations and their impact on work functionality.

    • Performs other related duties as assigned or required

    Essential Business Experience and Technical Skills:

    Required:

    • Bachelors in Nursing

    • 4+ years clinical experience.

    • Current RN licensure.

    Preferred:

    • 7+ years Disability claims and/or clinical experience.

    • Disability claims experience

    • Preferred designations CCM (certified case management) and/or CDMS (certified disability management specialist).

    • Possess strong knowledge of medical conditions, symptoms and terminology.

    Equal Employment Opportunity/Disability/Veterans

    If you need an accommodation due to a disability, please email us at [email protected]. This information will be held in confidence and used only to determine an appropriate accommodation for the application process.

     

    MetLife maintains a drug-free workplace.