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Nurse Case Manager

January 01, 2013 - April 29, 2013
Location:PHOENIX, AZ
Exempt/Non-Exempt:Exempt
Benefits:FULL BENEFITS, 401K, PTO
Employment Type:Full Time
Department:Medical Unit
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.


Additional Qualifications:

-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.

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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.


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