Field Nurse Case Manager
This company helps diverse clients manage insurance claims, coordinate return-to-work policies, prevent and control potential loss, and ensure best outcomes for injured workers. This TPA offers a wholly owned and fully integrated suite of managed care tools and services. This means that they bring a single, powerful solution to workers’ compensation claims to deliver the best outcomes for injured workers and our clients. Their claims adjusters and on-staff clinical experts work hand-in-hand to facilitate quality care and superior results. Defining quality is simple: prevent an illness or injury from becoming a permanent disability that diminishes a person’s productivity or quality of life and return the employee to work healthy, quickly and in the most cost-effective manner for the employer . Broad customer base includes more than 5,800 public entities and public entity pools; more than 300 program administrators/MGAs/carriers; more than 50 insurance carriers and more than 500 self-insured/high deductible clients.
Top reasons to love this job – 1. Forbes list of America’s Best Midsized Employers 2. The 3rd largest independent TPA in the industry 3. Competitive benefit package 4. Great work life balance 5. A supportive team and management group who is dedicated to developing and mentoring their staff, preparing career paths and resources for success. Top "must-have" skills for this job – 1. Bachelors or Associates Degree in nursing, or closely related field, or Masters in Rehabilitation Counseling. 2. Minimum of 1 year experience on-site case management with injured worker population in a public or private setting. 3. One of the following credentials is required: •Certified Rehabilitation Counselor (CRC) •Certified Disability Management Specialist (CDMS) •Certified Rehabilitation Registered Nurse (CRRN) •Certified Vocational Evaluator (CVE) •Certified Occupational Health Nurse (COHN) Tell me about this job – •Coordinate the delivery of services to a dedicated caseload of 20-25 clients •Conduct initial evaluation process with the injured worker, employer, physician and other interested parties to ascertain the specific issues that prevent a return to work •Develop a comprehensive treatment plan of action with all interested parties to provide an expedient and efficient means to recovery and RTW, including implementation of early return to work or transitional work processes whenever possible *additional duties included in job description.