Clinical Consultant at Sun Life in Portland, OR

Job description

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. At Sun Life, we're driven by our Purpose: helping our Clients achieve lifetime financial security and live healthier lives. Our values shape how we work: caring, authentic, bold, inspiring, and impactful. When you join Sun Life, you'll work with passionate colleagues and empowering leaders who support your growth and celebrate your contributions, so you can make a meaningful difference in our Clients' lives. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. Job Description: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Our team members and leaders are expected to foster connection and teamwork by being present in the office at least 2 days per week. The opportunity: Sun Life operates with a Work Is Healthy (WisH) approach for disability claims management. As a Clinical Consultant within our Clinical Services team, you will apply your clinical expertise as a member of an interdisciplinary team that focuses on returning clients to optimal levels of productivity. This role does not involve hands-on assessment or direct care. All work is solely performed using electronic medical records and phone/fax communication. How you will contribute: ​ Evaluate medical documentation to assess disability claims and functional capabilities. Provide clinical insight on complex medical conditions, treatment plans, and recovery timelines. Collaborate with claims professionals to synthesize facts and support quality decisions. Educate and consult with physicians, vocational counselors, employers, and other stakeholders. Communicate medical determinations via phone and written reports. Support return-to-work (RTW) planning through evaluation of restrictions, accommodations, and functional potential. Participate in peer collaboration and claims roundtables to share best practices. Mentor peers and educate internal teams on clinical topics and trends. What you will bring with you: Ability to work with a diverse range of people RN licensure, active and unrestricted, BSN preferred Specialty certification such as CCM, CRRN, or eligible with desire to pursue a plus 3+ years of clinical experience working with an adult working age population Experience in a rehabilitation setting, Occupational Health, Case/Care Management, Disability Insurance, Group Benefits, or Workers compensation a plus Strong communication skills to consult professionally across multiple audiences. Proficiency in Microsoft Office tools, including Outlook, Word, Excel, and clinical systems. Self-motivated with excellent critical thinking, time management, and judgment skills. Salary: $77,400 - $116,100 At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We a