Medical & Disability Nurse Case Manager

Liberty Mutual Insurance • Lake Oswego, OR

5d • $77,300 - $102,500 • Hybrid

About The Position

Liberty Mutual Insurance is seeking a registered nurse to medically manage an assigned caseload of medical and disability cases. Under general technical direction, the role applies clinical expertise to help individuals receive appropriate healthcare and return to work and normal activity in a timely, cost-effective manner. The caseload may include catastrophic or complex medical and disability cases, lost-time claims, and medical-only claims. The nurse also serves as a clinical resource for field claim partners.

Candidates must have a stable, reliable high-speed internet connection that supports business applications, virtual meetings, and voice communications with minimal disruptions; satellite connections are not supported. Candidates residing within 50 miles of the Lake Oswego, Oregon; Las Vegas, Nevada; or Chandler, Arizona offices are expected to commute in accordance with the company's hybrid work guidelines and business needs.

Requirements

• Degree from an accredited nursing school.
• Current unrestricted registered nurse (R.N.) license in the state where the position is based and other assigned states as required by law.
• Additional professional certifications, such as CCM, COHN, or CRRN, where required by workers' compensation law.
• Minimum of 3 to 5 years of clinical nursing experience.
• Ability to analyze information, make sound nursing judgments, and accurately document activities.
• Strong communication skills to build relationships with injured employees, medical professionals, employers, field claims staff, and others.
• Good negotiation skills to establish target return-to-work dates and coordinate medical care.
• Personal computer knowledge and proficiency in general computer applications, including Internet Explorer and Microsoft Office (Word, Excel, and Outlook).
• Stable and reliable high-speed internet connection capable of supporting business applications, virtual meetings, and voice communications with minimal disruptions; satellite connection is not supported.

Nice To Haves

• Bachelor of Science in Nursing preferred.
• Knowledge of state, local, and federal laws related to healthcare delivery preferred.
• Previous orthopedic, emergency room, critical care, home care, or rehabilitation care experience preferred.
• Previous medical case management experience is a plus.

Responsibilities

• Manage assigned medical and disability cases according to Liberty Mutual standards and protocols, applying clinical expertise to support optimal outcomes, claim resolution, and disposition.
• Communicate with injured employees, medical professionals, field claims staff, attorneys, and others to obtain information and negotiate medical treatment and return-to-work plans.
• Use the nursing process—assessment, diagnosis, planning, intervention, and evaluation—to support medical management, maximum medical improvement, and return to work in accordance with state jurisdictional requirements.
• Use appropriate internal and external resources and referrals, including Utilization Review, Peer Review, Field Claims Specialists, Regional Medical Director Consults, and Vocational Rehabilitation.
• Follow technical direction from nurse managers, senior medical and disability case managers, and/or CCMU staff to address highly complex medical or return-to-work issues and catastrophic injuries.
• Document RN activities accurately, concisely, and promptly, including case management strategies for claim resolution, and adhere to confidentiality policy.
• Apply clinical expertise appropriately and deliver services efficiently and effectively.
• Accurately document work time and achieve the annual time-tracking goal.
• Handle special projects as assigned.

Benefits

• The company describes comprehensive benefits that support employees' life and well-being, but specific benefit offerings are not listed in the posting.
• Workplace flexibility.
• Professional development opportunities.
• Employee Resource Groups.

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree