Telephonic Workers' Compensation Nurse Case Manager (RN)

About the role

You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. The Telephonic Nurse Case Manager provides medical and disability case management services within the Workers' Compensation claims department.

Responsibilities

• Assesses injured worker needs
• Applies evidence-based case management principles
• Collaborates with healthcare providers, employers, claimants, and claims professionals to support timely decision-making, appropriate treatment, and return-to-work outcomes
• Assesses disability status, makes recommendations and identifies appropriate resources
• Accountable for gathering and coordinating 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