Nurse Medical Case Manager

2 weeks ago

Centennial CO, United States The Travelers Companies Full time

Nurse Medical Case Manager - Clinic

Taking care of our customers, our communities and each other. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. the skills, education, training, credentials and experience of the candidate; As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
Target Openings
Under moderate supervision, provide office based telephonic and/or in-person medical case management supporting Concierge locations with emphasis on early intervention, return to work planning, coordination of quality medical care on claims involving disability and medical treatment as well as in-house medical reviews as applicable to claim handling laws and regulations. Responsible for helping to ensure injured parties receive appropriate treatment directly related to the compensable injury or assist claim handlers in managing medical treatment to an appropriate resolution.
Bilingual is a plus.
Meet with injured employees face to face following office visits at a provider's medical facility to assist with the claim process and ensure compliance with their medical treatment plan.
* Contact customer, medical provider and injured parties on claims involving medical treatment and /or disability to coordinate appropriate medical care and return to work.
* Develop strategies to facilitate an injured employee's return to work and achieve maximum medical improvement. Evaluate and update treatment and return to work plans within established protocols throughout the life of the claim.
* Coordinate with medical providers to ensure the injured employee is actively participating in a viable treatment plan.
* Evaluate medical treatment requests to ensure that they are reasonable and necessary based upon jurisdictional guidelines.
* Partner with Claim Professional to provide medical information and disability status necessary to create an overall strategy to achieve an optimal outcome.
* Utilize internal Claim Platform Systems to manage all claim activities on a timely basis.
* Utilize Preferred Provider Network per jurisdictional guidelines.
* Partner with Claim Professional to provide input on medical treatment and recovery time to assist in evaluating appropriate claim reserves.
* Submit accurate billing documentation on all activities as outlined in established guidelines.
* Keep injured worker apprised of claim status.
* In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) and/or certifications may be required to comply with state and Travelers requirements. Disability case management experience preferred.
* Expresses, summarizes and records thoughts clearly and concisely orally and in writing by applying proper content, format, sentence structure, grammar, language and terminology. General Insurance Contract Knowledge: Ability to understand policies and contracts, as they apply to policy conditions.
* Follows a logical sequence of inquiry with a goal of securing information about the work accident, resulting injury, anticipated treatment, job duties and any material factors that may impact recovery and return to work.
* Basic ability to determine liability and assigns a dollar value based on damages claimed and estimates, sets and readjusts reserves.
* Legal Knowledge: Basic knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry.
* Medical knowledge: Thorough knowledge of the nature and extent of injuries, periods of disability, and treatment needed.
* WC Technical: intermediate ability to demonstrate understanding of WC Products and ability to apply available resources and technology to manage treatment plans and assist with claim resolution. Planning & Organizing: Advanced ability to establish a plan/course of action and contingencies for self or others to meet current or future goals.
* Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Clinical Research Counselor (CRC), or Certified Rehab Registered Nurse (CRRN) preferred.
Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
* Retirement: When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
* Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
* In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
* Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. We believe that we can deliver the very best products and services when our workforce reflects the diverse customers and communities we serve. We are committed to recruiting, retaining and developing the diverse talent of all of our employees and fostering an inclusive workplace, where we celebrate differences, promote belonging, and work together to deliver extraordinary results.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.

  • Hospice Nurse Case Manager

    1 month ago

    Centennial, United States Silver Linings Hospice Full time

    Job DescriptionJob DescriptionWe are seeking a Hospice Nurse Case Manager to join our team! You will be responsible for the assessment, diagnosis, and treatment of assigned patients.Responsibilities:Administer nursing care to ill, injured, or disabled patientsDiagnose and establish patient treatment plansMonitor and report changes in patient symptoms or...

  • Hospice Nurse Case Manager

    2 weeks ago

    Centennial, CO, United States Silver Linings Hospice Full time

    Job DescriptionWe are seeking a Hospice Nurse Case Manager to join our team! You will be responsible for the assessment, diagnosis, and treatment of assigned patients.Responsibilities:Administer nursing care to ill, injured, or disabled patientsDiagnose and establish patient treatment plansMonitor and report changes in patient symptoms or behaviorCommunicate...

  • RN - Medical Nursing Nights

    6 days ago

    Centennial, CO, United States Core Medical Group Full time

    Core Medical Group is seeking a travel nurse RN Med Surg for a travel nursing job in Centennial, Colorado. Start Date: ASAP ~ Shift: 12 hours ~ Employment Type: Travel Client in CO seeking RN Float Pool - Medical / Surgical (RN) to work 12h night shift CoreMedical Group has hundreds of exciting and rewarding travel assignments throughout the...

  • RN - Medical Nursing Nights

    7 days ago

    Centennial, CO, United States Core Medical Group Full time

    Core Medical Group is seeking a travel nurse RN Med Surg for a travel nursing job in Centennial, Colorado. Shift: 12 hours ~ Employment Type: Travel Client in CO seeking RN Float Pool - Medical / Surgical (RN) to work 12h night shift CoreMedical Group has hundreds of exciting and rewarding travel assignments throughout the country for Travel...

  • RN Case Manager

    4 days ago

    Denver, CO, United States Rose Medical Center Full time

    Description Hourly Wage Estimate: $39.68 - $56.74 / hourLearn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in...

  • Registered Nurse

    5 days ago

    Avondale, CO, United States Interim HealthCare Full time

    Home Health Registered Nurse (RN) Case Manager in Pueblo, CO Status: Full Time Visit Rates: $45 - $125 per visit Experience a work culture where nurses are valued, management backs you and you’re empowered to be a patient’s advocate. At Interim HealthCare®, these are just a few of the rewards you’ll enjoy as a Home Health RN Case Manager. What...

  • Registered Nurse

    6 days ago

    Pueblo, CO, United States Interim HealthCare Full time

    Home Health Registered Nurse (RN) Case Manager in Pueblo, CO Status: Full Time Visit Rates: $45 - $125 per visit Experience a work culture where nurses are valued, management backs you and you’re empowered to be a patient’s advocate. At Interim HealthCare®, these are just a few of the rewards you’ll enjoy as a Home Health RN Case Manager. What...

  • RN Case Manager

    6 days ago

    Longmont, CO, United States Bristol Hospice Full time

    RN Case Manager Do you have a heart for hospice? Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We believe all patients and families entrusted in our care deserve the highest level of compassion, respect, and quality of care. As the...

  • RN Case Manager

    6 days ago

    Littleton, CO, United States Bristol Hospice Full time

    RN Case Manager Do you have a heart for hospice? Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We believe all patients and families entrusted in our care deserve the highest level of compassion, respect, and quality of care. As the...

  • Case Management Registered Nurse

    2 weeks ago

    Lakewood, CO, United States Supplemental Health Care Full time

    Job Description: Supplemental Health Care is seeking Case Management RNs in Lakewood, Colorado for a 12-week assignment at a partnering hospital. Named Best in Staffing based on real feedback from our working nurses and healthcare professionals, Supplemental Health Care is proud to be a partner to every nurse and healthcare professional we work with. Case...

  • Registered Nurse

    6 days ago

    Pueblo, CO, United States Interim HealthCare Full time

    Home Health Registered Nurse (RN) Case Manager in Pueblo, CO Status: Full Time Visit Rates: $45 - $125 per visit Experience a work culture where nurses are valued, management backs you and you’re empowered to be a patient’s advocate. At Interim HealthCare®, these are just a few of the rewards you’ll enjoy as a Home Health RN Case Manager. What...

  • RN Case Manager

    4 days ago

    Englewood, CO, United States Swedish Medical Center Full time

    Description Hourly Wage Estimate: $39.68 - $56.74 / hourLearn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in...

  • Registered Nurse, Case Manager

    2 weeks ago

    , CO, United States CITYWIDE HOME HEALTH CARE INC Full time

    Company Description CITYWIDE HOME HEALTH CARE INC is a medical practice company based in Denver, Colorado. We are dedicated to providing quality healthcare services to patients in the comfort of their own homes. Our team of healthcare professionals is committed to delivering personalized care and ensuring the well-being of our patients. Role Description This...

  • Telephonic Nurse Case Manager II

    7 days ago

    Denver, CO, United States Elevance Health Full time

    Telephonic Nurse Case Manager II Description "Telephonic" Nurse Case Manager II Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location. Hours: Monday - Friday 9:00am to 5:30pm EST and 1 late evening 11:30am to 8:00pm EST. This position requires an on-line pre-employment skills assessment....

  • RN Case Manager

    6 days ago

    Englewood, CO, United States Swedish Medical Center Full time

    Description Hourly Wage Estimate: $39.68 - $56.74 / hourLearn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in...

  • RN Case Manager Rehab PRN

    19 hours ago

    Englewood, CO, United States Swedish Medical Center Full time

    Description Hourly Wage Estimate: $39.68 - $56.74 / hourLearn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in...

  • Registered Nurse

    6 days ago

    Greenwood Village, CO, United States Enhabit Inc Full time

    Registered Nurse (RN) Case Manager - Home Health Overview Compensation - $77- $85 K annually + 30 Days PDO (Up to 6 weeks including Holidays) Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, Enhabit is...

  • Registered Nurse

    6 days ago

    Greenwood Village, CO, United States Enhabit Inc Full time

    Registered Nurse (RN) Case Manager - Home Health Overview Compensation - $77- $85 K annually + 30 Days PDO (Up to 6 weeks including Holidays) Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, Enhabit is...

  • Nurse Practitioner

    2 weeks ago

    Centennial, CO, United States Premise Health Systems Full time

    Healthcare Without Rival We are currently looking for a Part-time (PTL) Nurse Practitioner (NP) or Physician Assistant (PA) to join our team in Centennial, CO. Premise Health is the world's leading direct healthcare provider and one of the largest digital providers in the country, serving over 11 million eligible lives across more than 2,500 of the largest...

  • Registered Nurse

    5 days ago

    Avondale, CO, US Interim HealthCare Full time

    Home Health Registered Nurse (RN) Case Manager in Pueblo, COStatus: Full TimeVisit Rates: $45 - $125 per visitExperience a work culture where nurses are valued, management backs you and you’re empowered to be a patient’s advocate. At Interim HealthCare®, these are just a few of the rewards you’ll enjoy as a Home Health RN Case Manager.What sets us...