RN Case Manager - Workers' Compensation

Essential Duties and Responsibilities

• Demonstrate knowledge, skills, and competency in the application of case management standards of practice.
• Develop and provide ongoing support of the rehabilitation plan through comprehensive assessment, planning, implementation, and overall evaluation of individual claimant needs.
• Facilitate the Injured Worker’s rehabilitation by coordinating medical treatment, advocate for the Injured Worker with all medical providers and stakeholders and educate the Injured Worker on their recovery process.
• Understand, apply, and comply with all statutory, regulatory, licensing requirements, and NJM policies/guidelines that affect utilization review, case management, and medical management.
• Evaluate the appropriateness, medical need and efficiency of health care procedures and facilities according to established criteria or guidelines.
• Effectively communicate and collaborate with management, peers, and colleagues to ensure alignment, compliance and effective management of assigned claims.
• Participate and/or support identified project initiatives
• Proactively seek development opportunities and identify business process improvements to maximize effectiveness of operations and minimize cost.

Required Qualifications

• RN required
• Minimum of 5 years of clinical nursing experience required
• WC/PIP experience preferred
• Bachelor of Science in Nursing (BSN) is preferred
• Certified Case Manager (CCM) beneficial
• Strong internal and external relationship management skills
• Detail oriented with exceptional time management and organizational skills
• Ability to work independently and in a team environment
• Proactive
• Willingness to learn and grow within the position
• Reliable
• Conform to the company’s attendance policy
• Intermediate Microsoft Office Suite skills (Outlook, Word, Excel, PowerPoint) with ability to navigate technology and multiple systems effortlessly
• High School Diploma or Equivalent

Compensation

Salary is commensurate with experience and credentials. Pay Range: $84,610-$98,261

Eligible full-time employees receive a competitive Total Rewards package, including but not limited to:

• A 401(k) with employer match up to 8% and additional service-based contributions
• Health, Dental, and Vision insurance
• Life and Disability coverage
• Generous PTO, Paid Sick Leave, and paid parental leave in addition to state-mandated leave
• Discretionary bonuses