RN Case Manager

Employer
Excalibur Insurance
Location
Pittsburgh, PA, US
Salary
Competitve
Posted
Sep 13, 2017
Closes
Sep 30, 2017
Ref
eed26e04
Specialty
Miscellaneous
Contract Type
Permanent
Job Description

Immediate Hire for a Nurse Case Manager

We are looking for a Nurse Case Manager specializing in workers compensation for an insurance company based in downtown Pittsburgh to cover workers compensation disability claims located in Western Pennsylvania.

PRIMARY PURPOSE
To facilitate progressive medical treatment/rehabilitation and/or timely return to work of injured worker; and to act as liaison for involved parties. Position requires traveling to appointments, discussing diagnosis, prognosis, treatment recommendations and return to work information with doctors and claimants, creating Job Analysis and submitting them to physicians, working with adjusters and management, and other duties as required.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Assesses and analyzes injured worker's medical and vocational status. Meet with attending physician, injured worker and/or employer to clarify medical and/or vocational claim related information which could not be obtained through correspondence or telephonic attempts by claims team. Collaborates with members of the health care team to provide ongoing case management services. Confers with medical treating providers concerning the course of care and treatment per clinical guidelines with an end goal of returning employee back to work.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES
Performs other duties as assigned. Travels as required.

QUALIFICATIONS
Education & Licensing
Current state RN licensure required. Bachelor's degree or equivalent experience preferred. CCM, CRRN, COHN, CDMS eligibility or current certification preferred.

Skills & Knowledge

  • Knowledge of workers' compensation and/or disability
  • Excellent oral and written communication skills
  • PC literate, including Microsoft Office products
  • Strong problem solving skills
  • Ability to work independently
  • Excellent interpersonal and negotiation skills

Salary position, including benefits and mileage.

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