Clinical Nurse Case Manager
2 weeks ago
Worksite: On-site
Employment Type: Full-Time
Geographical Scope: Various locations across the United States, Puerto Rico, and other US territories.
Key ResponsibilitiesThe Nurse Case Manager will:
- Deliver Nurse Intervention Services by evaluating the Injured Worker's (IW) current health status, expected recovery timeline, and treatment strategies.
- Collaborate with healthcare providers to secure suitable treatment plans and facilitate recommended medical care.
- Assist both providers and IWs in obtaining authorization for medical services.
- Engage with employing agencies to identify suitable light duty work options and coordinate the return-to-work process.
- Prepare cases for Second Opinion medical evaluations, including thorough file assessments and preparation of Statements of Accepted Facts (SOAF).
- Maintain timely communication with the Government regarding case milestones and progress.
Applicants must meet the following criteria:
- Possess a current, active, and unrestricted nursing license valid in the United States, Puerto Rico, and other US territories.
- Have at least two (2) years of experience in adult medical/surgical nursing and a minimum of two (2) years in case management within the workers' compensation field OR,
- Have a minimum of one (1) year of adult medical/surgical nursing experience and three (3) years of case management experience in the workers' compensation sector.
- Hold a Registered Nurse (RN) license.
- Demonstrate experience in case management and the coordination of medical care.
- Knowledge of the OWCP/FECA program is preferred.
Ideal candidates will have:
- Recent involvement with the FECA nurse intervention program (within the last 5 years, demonstrating good performance and no disciplinary actions).
- Specialized certification in one of the following areas: Occupational Health (COHN), Case Management (CCM), Insurance Rehabilitation (CIRS/CRRN), Disability Management (CDMS), and/or Nurse Case Manager Board Certified (ANCC/ANA).
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