Nurse Case Manager
|Benefits:||FULL BENEFITS, 401K, PTO|
|Employment Type:||Full Time|
|Description:||The Nurse Case Manager(s) will assist the employer and Matrix in the resolution of complex Short and Long-Term disability claims. This position will include establishing return to work activities, facilitating medical care with providers and the Employer's health care plans, and achieving directed case management strategy outcomes. |
***POSITION CAN BE LOCATED IN PHOENIX, AZ, HAWTHORNE, NY, SAN JOSE, CA or PORTLAND, OR locations***
Claim resolution may involve working directly with the Employer, Attorneys, Investigators, Rehabilitation Counselors, the employee, the treatment provider and other professionals assigned to the claim.
|Duties:||-Handle the most complex claims in case management. |
-Position includes telephonic and onsite activities to assist employees in returning to work.
-Consults and advises disability staff on medical elements associated with disability claims.
-Evaluates nature, status, duration and validity of disability claim modified duty programs for injured claimants.
-Requests and investigates all appropriate sources of information to make accurate and ongoing disability determinations.
-Assists with special projects and staff training programs.
-Performs related work as assigned.
|Qualifications:||-Licensed RN with a minimum of five (5) years of applicable experience in disability, workers’ compensation case management or LOA programs.|
-College degree required. Bachelors or Masters Degree in Nursing or similar field preferred.
-Certification in UR/QA, Case Management or OCCUPATIONAL HEALTH NURSING is preferred.
-Use of computerized claims systems, Microsoft Office Suite experience required.
-Understanding of workers compensation or similar utilization review and quality assurance programs.
-Conversant with evidence-based medicine protocols and disability duration guides desired.
-Excellent presentation and written/verbal communication skills.
-Ability to communicate effectively, both orally and in writing.
-Proven experience in providing internal and external customer service.
-Ability to handle confidential information with the utmost judgment and discretion.
-High attention to detail.
Matrix Absence Management is a nationwide company that partners with employers to provide customized management of disability, workers’ compensation and family leave programs.
We service a wide range of nationwide clients. Our clients include Fortune 500 companies, Technology sector leaders, Service Companies, Manufactures, Bio Tech, Utilities and Healthcare.
This job is no longer active. Please click here to see current job listings.