Medical & Disability Nurse Case Manager

Liberty Mutual•Lake Oswego, OR

4d•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 nurse applies clinical expertise to help individuals receive appropriate healthcare, return to work, and resume normal activities in a timely and 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 Liberty Mutual’s hybrid work guidelines and business needs.

Requirements

Degree from an accredited nursing school.
Minimum of 3 to 5 years of clinical nursing experience.
Current unrestricted registered nurse (R.N.) license in the state where the position is based and in other assigned states as required by law.
Additional professional certifications, such as CCM, COHN, or CRRN, where required by workers’ compensation law.
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.
Negotiation skills to establish target return-to-work dates and coordinate medical care.
Personal computer knowledge and proficiency with general computer applications, including Internet Explorer and Microsoft Office (Word, Excel, and Outlook).
Stable, reliable high-speed internet capable of supporting business applications, virtual meetings, and voice communications with minimal disruptions; satellite connections are not supported.

Nice To Haves

Bachelor of Science in Nursing.
Clinical nursing experience in orthopedics, emergency room, critical care, home care, or rehabilitation care.
Previous medical case-management experience.
Knowledge of state, local, and federal laws related to healthcare delivery.

Responsibilities

Manage assigned medical and disability caseloads according to Liberty Mutual’s 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 gather information and negotiate medical treatment and return-to-work plans.
Apply the nursing process—assessment, diagnosis, planning, intervention, and evaluation—to facilitate medical management, maximum medical improvement, and return to work in accordance with state jurisdictional requirements.
Use internal and external resources and referrals, such as Utilization Review, Peer Review, Field Claims Specialists, Regional Medical Director Consults, and Vocational Rehabilitation.
Follow general technical direction from nurse managers, senior medical and disability case managers, and/or CCMU staff to resolve highly complex medical or return-to-work issues and manage catastrophic injuries.
Accurately, concisely, and promptly document RN activities and clinical case-management strategies for claim resolution.
Adhere to confidentiality policy.
Apply clinical expertise to claims and deliver services efficiently and effectively.
Accurately document time tracking for work performed and achieve the annual time-tracking goal.
Handle special projects as assigned.