Clinical Advocate

Job Description

🚨 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!

Responsibilities

• 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
  
  

Qualifications

• 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.
  
  

About Us

Why Crawford?

Because a claim is more than a number — it’s a person, a child, a friend. It’s anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community – one claim at a time.

At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We’re looking for the next generation of leaders to take this journey with us.

We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com .

When you accept a job with Crawford, you become a part of the One Crawford family.

Our total compensation plans provide each of our employees with far more than just a great salary

• Pay and incentive plans that recognize performance excellence
• Benefit programs that empower financial, physical, and mental wellness
• Training programs that promote continuous learning and career progression while enhancing job performance
• Sustainability programs that give back to the communities in which we live and work
• A culture of respect, collaboration, entrepreneurial spirit and inclusion
  
  

Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.