Nurse Case Manager - Telephonic - Workers Compensation LOC : Lisle, IL,

Nurse Case Manager - Telephonic - Workers Compensation LOC : Lisle, IL,

  • Posted on : 09-08-2023
  • Job Type : Full Time only
  • Salary : 100,000 - 200,000

Job Description:

Essential Duties & Responsibilities

  • Assesses disability status makes recommendations and identifies appropriate resources.
  • Gathers and coordinates medical evidence for evaluation of functionality and makes assessments on restrictions and limitations and addresses length of disability.
  • Consults on case management issues in area of specialty and applies effective case management interventions.
  • Works with medical and other providers to ensure appropriate treatment and return to work.
  • Facilitates job modifications when appropriate and educates involved parties regarding claims process and functionality as it relates to job requirements.
  • Addresses causality and refers to appropriate medical expertise.
  • Documents according to jurisdictional, departmental and accreditation requirements.

Skills, Knowledge & Abilities

  • Strong knowledge of case management, specialty area, medical terminology and conditions, insurance industry as well as company policies and procedures.
  • Ability to exercise professional judgment and assume responsibility for decisions which have an impact on people, costs and quality of service.
  • Excellent verbal, written, and presentation skills with the ability to convey technical issues in a clear, concise and effective manner.
  • Strong interpersonal skills with the ability to effectively interact with internal and external business partners.
  • Detail oriented with strong organizational and analytical skills as well as the ability to prioritize and coordinate multiple tasks.
  • Knowledge of Microsoft Office Suite as well as other business related software.
  • Ability to work independently.

Education & Experience Required

  • Current unrestricted RN license required.
  • Minimum 3 to 5 years diverse clinical background. Case management or disability management experience required. Workers Compensation experience strongly preferred.
  • Bilingual candidates would be ideal.
  • Certified Case Management (CCM) required or the ability the sit for the exam within 1st year of hire.
  • Additional certifications would be preferred such as;
  • Certified Disability Management Specialist (CDMS), Certified Occupational Health Nurse (COHN), or Certified Rehabilitation Nurse (CRN).


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