Nurse Case Manager

3 weeks ago

Friendswood, United States HV Health and Safety LLC Full time

**SUMMARY**:
The Nurse Case Manager is responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Working as an intermediary between carriers, attorneys, medical care providers, employers, and employees.

**DUTIES AND RESPONSIBILIITES**:
The following list reflects essential duties and responsibilities. Leadership may reassign, reallocate, or add any responsibilities to this list at any time. This list is meant to provide an overview and is non-exhaustive. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
? Ensure appropriate and cost-effective healthcare services leading to a medically rehabilitated individual who is ready to return to an optimal level of work and functioning.
? Using clinical/nursing skills to help coordinate the individual?s treatment program while maximizing cost containment.
? Serving as an intermediary to interpret and educate the individual on his/her disability, and the treatment plan established by the case manager, physicians, and therapists. Facilitate treatment between providers and worker.
? Resource for claims personnel when needing providers in certain locales.
? Partner with employers determining modified work.
? Provide accurate and quality documentation meeting Best Practices timeframes.
? Reporting billing hours in accordance with case activity and billing practices. Following specific account instructions.
? Demonstrates a level of professionalism within the workplace and in dealing with injured workers reflects positively on the company as a whole.
COMPETENCIES
The following is a list of personal and professional competencies that must be present to succeed in this role.
? Requires excellent time management and organizational skills.
? Spanish speaking a plus
? Must have reliable transportation
? Must have local unencumbered driver?s license and proof of automobile insurance.
Effective written and verbal communications skills

**EDUCATION AND EXPERIENCE QUALIFICATIONS**:
? Associates degree in qualified nursing program, required; Bachelor?s in Nursing, preferred
? Current, unencumbered Registered Nurse or Licensed Vocation Nurse license in the resident state; CCM, COHN preferred.
? 3 year clinical experience in a hospital setting, required; Worker?s compensation or disability management experience is preferred
? Previous field case management experience, preferred

**Work location**: Remote
**Expected Hours**: 40 hours per week

**Benefits**:
401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance

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