Telephonic Workers' Compensation Nurse Case Manager (RN)

CNA Insurance • Downers Grove, IL

5d • $54,000 - $103,000 • Hybrid

About The Position

The Telephonic Nurse Case Manager provides medical and disability case management services within the Workers' Compensation claims department. Responsibilities include assessing injured worker needs, applying evidence-based case management principles, and collaborating with healthcare providers, employers, claimants, and claims professionals to support timely decision-making, appropriate treatment, and return-to-work outcomes. This position works a hybrid work schedule of 2 days per week in office.

Requirements

• Registered Nurse (RN), with BSN preferred.
• Certified Case Manager (CCM) credential preferred, or willingness to obtain case management certification.
• Typically a minimum five years related clinical experience, with two or more years disability management experience preferred.
• Strong knowledge of case management, specialty area, medical terminology and conditions, insurance industry as well as company policies and procedures.
• Ability to exercise professional judgment and assume responsibility for decisions which have an impact on people, costs and quality of service.
• Excellent verbal, written, and presentation skills with the ability to convey technical issues in a clear, concise and effective manner.
• Strong interpersonal skills with the ability to effectively interact with internal and external business partners.
• Detail oriented with strong organizational and analytical skills as well as the ability to prioritize and coordinate multiple tasks.
• Knowledge of Microsoft Office Suite as well as other business related software.
• Ability to work independently.

Nice To Haves

• BSN preferred.
• Certified Case Manager (CCM) credential preferred, or willingness to obtain case management certification.
• two or more years disability management experience preferred.

Responsibilities

• Assesses disability status, makes recommendations and identifies appropriate resources.
• Gathers and coordinates medical evidence for evaluation of functionality and makes assessments on restrictions and limitations and assigns length of disability.
• Consults on case management issues in area of specialty and applies effective case management interventions.
• Collaborates with medical and other providers to ensure appropriate treatment and return to work.
• Facilitates job modifications when appropriate and educates involved parties regarding claims process and functionality as it relates to job requirements while remaining externally focused.
• Addresses causality and refers to appropriate medical expertise.
• Documents according to jurisdictional, departmental and accreditation requirements.

Benefits

• Comprehensive and competitive benefits package to help our employees – and their family members – achieve their physical, financial, emotional and social wellbeing goals.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level