Telephonic Nurse Case Manager

Chubb External

74d

About The Position

The Workers Compensation Telephonic Nurse Case Manager is responsible for evaluating and expediting appropriate, cost-effective medical treatment of injured employees with the goal of optimum medical improvement. The TCM is responsible for disability management, including proactive early return to work coordination. Close collaboration with the claims and medical team to achieve individual case and department goals is a critical component of the position. This is a full-time remote position.

Requirements

• Registered Nurse (RN) license in good standing required and willingness to obtain additional licenses as needed.
• BSN preferred.
• Experience in handling Texas jurisdiction.
• Certified Case Manager (CCM) certification, CDMS and/or CRRN preferred.
• Compact license preferred.
• 3-year experience in Workers Compensation Case Management preferred.
• Proficiency with MS Office products.

Responsibilities

• Complete timely initial assessment report, case management plan, and establish disability duration timeframes.
• Throughout the life of an assignment review, analyze and critically assess medical records compared to evidence-based treatment guidelines; communicate findings and recommendations to the adjuster as part of the development of a medical action plan.
• Active participation with claims team to review, establish, and execute action plan.
• Develop and maintain action plan for early return to work (RTW) based on disability duration guidelines.
• Work collaboratively with all stakeholders to effectively manage recovery and return to work process.
• Meet productivity requirements.
• Effectively manage inventory based on guidelines.

What This Job Offers

• Job Type: Full-time
• Education Level: Bachelor's degree