Sr Nurse Analyst, Medical Services

CSX•Jacksonville, FL

5h•Onsite

About The Position

The Sr. Nurse Analyst provides clinical case management and operational support across Medical Services. The role covers medical qualification, fitness-for-duty, post-offer and regulatory examinations, return-to-work, and on-duty and off-duty injury and illness cases. It applies clinical judgment to review medical information, coordinate follow-up, support timely case resolution, and collaborate with employees, healthcare providers, Human Resources, Labor Relations, Legal, Operations, and other stakeholders. The position also supports workload coverage, regulatory compliance, process improvement, and safe, timely employee return to productive service. This position is based in Jacksonville, Florida, and requires in-person, on-site work. The employee must maintain an active RN license in good standing, participate in rotating on-call coverage, work outside normal business hours when required, and respond to changing operational priorities and workload demands. CSX offers an annual salary range based on experience and qualifications, an annual bonus opportunity, competitive compensation, a comprehensive benefits package, wellness programs, customizable coverage options, and growth opportunities.

Requirements

Bachelor’s Degree in Nursing from a regionally accredited college or university.
Current Registered Nurse (RN) license in good standing; the license must be maintained.
Five or more years of professional nursing or clinical case management experience.
Experience reviewing medical documentation and coordinating care, work status, or return-to-work activities.
Strong clinical assessment and critical-thinking skills, including the ability to interpret medical information and apply established medical and regulatory guidelines.
Knowledge of Federal Railroad Administration requirements applicable to safety-sensitive employees.
Knowledge of FRA conductor and locomotive engineer certification requirements.
Knowledge of Department of Transportation and Commercial Driver’s License medical requirements.
Understanding of occupational health, fitness-for-duty, return-to-work, injury management, and employee medical qualification principles.
Ability to understand and apply company policies, labor agreements, regulatory requirements, and established CSX medical-related procedures.
Strong case-management, organizational, prioritization, and follow-up skills, with the ability to manage multiple complex cases and priorities in a fast-paced environment.
Strong analytical and problem-solving skills, including the ability to identify trends, issues, and process-improvement opportunities.
Excellent written and verbal communication skills and ability to communicate effectively with employees, healthcare providers, Operations, Human Resources, Labor Relations, Legal, and other stakeholders.
Strong customer-service orientation and ability to balance employee experience, clinical considerations, regulatory requirements, and business needs.
Sound judgment, professionalism, discretion, and confidentiality when handling sensitive medical information.
Proficiency with Microsoft Word, Excel, PowerPoint, and applicable case-management or medical-record systems.
Ability to work independently and collaborate effectively across a multidisciplinary team.
Ability to participate in rotating on-call coverage and work outside normal business hours when required.
Ability to respond to changing operational priorities and workload demands.
Ability to work in person on site in Jacksonville, Florida.

Nice To Haves

Master’s Degree in Nursing, Healthcare Administration, Occupational Health, or a related field.
Seven or more years of nursing, occupational health, case management, employee health, disability, or related clinical experience.
Experience in occupational health, transportation, railroad, industrial, or other safety-sensitive work environments.
Experience supporting fitness-for-duty, return-to-work, medical qualification, or regulatory medical examination processes.
Case management or occupational health certification, such as CCM, COHN, or COHN-S.

Responsibilities

Review medical documentation and evaluate medical qualifications for new hires, job transfers, certification examinations, return-to-work cases, and other assigned employee medical cases.
Review post-offer, regulatory, fitness-for-duty, and return-to-work examinations within established guidelines and assigned authority.
Use clinical judgment to identify additional medical information or clarification needed from employees and healthcare providers for medical qualification and work-status determinations.
Coordinate follow-up with employees, healthcare providers, Human Resources, Labor Relations, Operations, and other stakeholders to facilitate timely case resolution.
Support return-to-work processes for employees following personal illness, injury, or other medical absence.
Support review and management of on-duty and off-duty injury and illness cases, including medical documentation, work status, restrictions, and follow-up.
Partner with Legal and other internal stakeholders to research and provide relevant medical facts and documentation related to employment matters, including medical qualification and other claims.
Coordinate scheduling, processing, and follow-up of medical examinations with Human Resources, Labor Relations, Operations, employees, and healthcare providers.
Support Federal Railroad Administration (FRA), Department of Transportation (DOT), Commercial Driver’s License (CDL), and other applicable regulatory medical requirements.
Maintain accurate and timely case documentation and protect confidential employee medical information and data in accordance with applicable requirements and company practices.
Identify opportunities to improve medical-related workflows, case management, employee experience, quality, and operational efficiency.
Provide cross-functional team coverage during workload fluctuations, staffing absences, special assignments, and increased business demand.
Participate in rotating on-call responsibilities and provide support outside standard business hours as required.
Perform other duties and responsibilities as assigned.