Job Description

The purpose of this job is to perform clinical assessment and evaluate needs for treatment in worker’s compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate appropriate medical treatment and length of disability with providers and employers while managing financial and other risks on behalf of the Company. Essential duties include creating and managing worker’s compensation patient case plans with ongoing monitoring, performing initial and ongoing clinical assessments via telephone, assessing psychosocial needs and support systems, creating case management plans with measurable goals, monitoring progress, implementing interventions, measuring treatment effectiveness, recommending alternative treatment plans, negotiating care and disability duration with providers, coordinating return to work with employers, reporting on interventions, maintaining accurate records, communicating effectively with all parties involved, providing case direction to field specialists, maintaining privacy and confidentiality, and interfacing with external agencies for utilization review. The role does not have supervisory responsibilities. Education and experience requirements include an Associate's or Bachelor’s degree in Nursing preferred, minimum 2 years of professional clinical care experience, and current unrestricted RN or LVN license. Certification in case management or related specialty is strongly preferred. The job requires working knowledge in clinical care, ability to work with medical and mathematical concepts, strong communication skills, and physical ability to perform job duties. The work environment is office-based with frequent computer and telephone use and occasional travel. Employment sponsorship is not offered. Salary range is $78,678.61 - $132,686.15, exclusive of benefits and bonuses.

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