Nurse Case Manager overseeing complex Workers' Compensation claims for injured workers. Collaborating with claims staff and healthcare professionals to facilitate optimal patient outcomes.
Responsibilities
Oversee Workers’ Compensation claims with complex medical conditions.
Completes assessments considering various biopsychosocial factors impacting recovery.
Develop strategies for injured worker stability and return to work.
Manage communication with internal/external partners for comprehensive assessments.
Interpret clinical criteria and guidelines for eligibility and integration of resources.
Focus on medical and ability management activities for accurate treatment.
Consult with supervisors on barriers to meeting goals and participate in claim meetings.
Requirements
RN with current unrestricted state licensure required.
Associate degree in Nursing required.
3 years clinical practice experience required.
Bachelor’s degree in nursing preferred, but not required.
Certification as a CCM (CDMS, CRC, CVE and/or current CRRN), or willingness to pursue.
Workers Compensation case management experience preferred.
Basic Computer proficiency (Microsoft Office Products including Word, Outlook, Excel, Power Point);
Ability to effectively communicate telephonically and in written form.
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