Nurse Case Manager

POSITION SUMMARY

The Nurse Case Manager (NCM) will be expected to effectively collaborate with the interdisciplinary team on a regular basis in both a verbal and written capacity. They must be adept in their abilities to assess, plan, implement, coordinate, monitor, and evaluate clinical options and services to promote optimal patient/injured worker outcomes. They should have a strong capability to comprehend and facilitate cost-effective care to ensure medical services are provided in an optimal clinical setting as well as in a timely manner. The NCM will assist claims specialists and the medical management team in ensuring compliance with evidence-based guidelines, organization clinical protocols, and Medicare Secondary Payer Act.
 

KNOWLEDGE AND SKILL REQUIREMENTS

• Fluent in English and Spanish required

• Advanced clinical knowledge

• Minimum of 5 years of nursing and nurse case management experience

• Minimum of 1 year of experience in the workers’ compensation industry preferred

• Musculoskeletal and/or trauma experience a plus

• Track record and comfort in collaborating with interdisciplinary teams and providers

• Ability to lead and coordinate activities with a diverse group of individuals

• Conversant knowledge and experience with case management care coordination and/or utilization review

• Demonstrated ability to critically think and effectively problem solve

• Exceptional communication skills

• Basic knowledge and experience in Microsoft Office programs

• Excellent time-management skills

Salary is 85,000- 95,000