Medical & Disability Nurse Case Manager
Core
Manage medical treatment and return-to-work plans for injured employees using clinical expertise and the Nursing Process.
Role type
Medical & Disability Nurse Case Manager
Builds
Optimal case outcomes and return-to-work plans for injured workers
Domain
Workers' Compensation / Healthcare Management
Deliverable
client delivery
Required skills
Nursing Process, clinical judgment, negotiation, documentation, resource utilization, state/federal law knowledge
Preferred skills
Orthopedic/ER/critical care/rehab experience, medical case management experience, BSN degree, CCM/COHN/CRRN certifications
Technologies
Microsoft Office (Word, Excel, Outlook), Internet Explorer
Responsibilities
Communicate with injured employees, medical professionals, and claims staff to negotiate treatment and RTW plans; Utilize internal and external resources (Utilization Review, Vocational Rehabilitation) to resolve complex medical issues; Document RN activities and case management strategies accurately; Apply clinical expertise to claims for efficient resolution.
Seniority
Mid-level, hands-on IC