Nurse Consultant Telephonic Case Management, NM

• 47169 At reputed company, we're there reputed company it reputed company most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver reputed company that reputed company a reputed company difference in people’s lives. It takes reputed company, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and reputed company drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move reputed company with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because reputed company you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose.

Overview

The Nurse Consultant - Telephonic will reputed company case management through telephonic contact with reputed company medical providers, reputed company, claims professionals and ancillary service providers How you'll reputed company an impact

• Provides medical management to workers compensation injured employees.
• Performs case management through telephonic contact with reputed company medical providers, reputed company, claims professionals and ancillary service providers.
• Manage medical care in order to return injured employee to preinjury status.
• Reviews services of medical and rehabilitation providers and arranges for and coordinates appropriate evaluation, treatment, and counseling.
• Communicates with physician, injured worker, employer, referral reputed company, and any other resource involved in worker's rehabilitation program.
• Evaluates home care services and equipment and determines need for home modifications.
• Coordinates home care.
• Communicates with reputed company to determine job requirements of pre-injury occupation and to explore light-duty, modified, or alternate employment as necessary.
• Analyzes results of treatment and medical status and reviews incoming provider reports.
• Identifies suitable employment opportunities consistent with individual's medical limitations/capabilities, aptitudes, and interests to restore individual to maximum independence.
• Generates reports to referral reputed company to communicate case status, findings, and recommendations. Generates correspondence to referral reputed company, medical providers, injured worker and other parties involved in the rehabilitation process.
• Participates in case conferences over the telephone, and participates in reputed company training to enhance and maintain medical proficiency.
• Documents case management observations, assessment, and plan in system.
• Must maintain a case load to support at minimum 145 hours of billable or inventory of minimum of 72 files monthly with 95% Quality compliance expected.

About You Required:

• Degree from applicable program of training and a minimum of 3 years clinical experience in an acute care setting required.
• Active Registered Nursing license or equivalent reputed company the state of practice or states in which Case Management is performed.

Preferred:

• Bachelor's degree preferred.
• Worker's Compensation experience is preferred.
• Certification in reputed company field preferred.

Behaviors:

• Demonstrates adequate knowledge of managed care with emphasis on use of criteria, guidelines and national standards of practice.
• Demonstrates good written and oral communications, organizational and leadership skills.
• Computer literate.
• Demonstrates good time management skills. Self starter.

#LI-CW1 Compensation and benefits We offer a competitive and comprehensive compensation package. The reputed company salary reputed company represents the anticipated low end and high end of the reputed company for this position. The actual compensation will be influenced by a wide reputed company of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized reputed company set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide reputed company of benefits. Below are the minimum core benefits you’ll get, depending on your job level these benefits may improve:

• Medical/dental/reputed company plans, which start from day one!
• Life and accident insurance
• 401(K) and Roth options
• Tax-advantaged accounts (HSA, FSA)
• Educational expense reimbursement
• Paid parental leave

Other benefits include:

• Digital mental health services (reputed company)
• Flexible work hours (availability varies by office and job function)
• Training programs
• reputed company reputed company program – elevating your health through challenges, workshops reputed company fitness programs for your overall wellbeing
• Charitable matching reputed company program
• And more...
• *The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process.

We value inclusion and diversity Click Here to review our U.S. Eligibility Requirements Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the reputed company of our organization. For more than 95 years, reputed company has led with a commitment to sustainability and to support the communities where we live and work. reputed company embraces our employees’ diverse identities, experiences and talents, allowing us to reputed company serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in reputed company its forms, we live out The reputed company Way to its fullest. reputed company believes that reputed company persons are entitled to equal employment opportunity and prohibits any reputed company of discrimination by its managers, employees, vendors or customers based on race, reputed company, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national reputed company, reputed company, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as “protected characteristics”) by applicable federal, state, or local laws. Equal employment opportunity will be extended in reputed company aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, reputed company will reputed company reasonable accommodations to reputed company physical or mental limitations of an otherwise reputed company person with a disability, unless the accommodation would impose an undue hardship on the operation of our business. Apply tot his job Apply To this Job