Case Manager - RN

TalentBurst, Inc.; North Carolina; On-site; USD 65,000 - 85,000; Full time

Job summary

Grifols seeks a skilled RN for Return to Work Case Management to coordinate medical care and facilitate timely return-to-work for injured employees in the US. The role collaborates with adjusters, providers, managers, and employees to ensure appropriate treatment and claims resolution.

The ideal candidate holds a BSN or ADN, valid nursing license in NC or CA, and 1 year (BSN) or 3 years (ADN) of relevant experience in workers' compensation or occupational health nursing, with CPR and OSHA

Qualifications

• Bachelor's or Associate degree in nursing from an approved program.
• Current state nursing license (NC/CA as location).
• 1 year (BSN) or 3 years (ADN) in workers' compensation case management or occupational health nursing.
• Knowledge of OSHA requirements and CPR certification.

Responsibilities

• Assess and coordinate medical care for worker's compensation injuries.
• Coordinate with adjusters, providers, and management for appropriate care.
• Assess fitness to return to work and develop light-duty plans.
• Develop and evaluate case management plans and cost-effective care.
• Maintain confidentiality of medical and demographic information.
• Create and maintain medical records and disability documentation.
• Participate in ADA interactive processes and coordination with HR.
• Provide occupational health services on-site as needed and telephonic triage.
• Serve as rotating on-call RN for Grifols US operations.
• Collaborate with staff nurses to integrate medical service delivery.

Skills

Occupational health knowledge

CPR certification

OSHA requirements experience

Education

Bachelor's degree in Nursing

Associate degree in Nursing

Job description

Job Description

Summary: Provides medical case management services to Grifols employees in US who are injured on the job and non-work related absences.The RN will use medical expertise combined with knowledge of the workers' compensation system to make sure that injured workers receive timely and appropriate medical treatment to promote early return to work and claims resolution. The nurse will facilitate communication and action among Grifols management, insurance carriers, physicians, and injured workers.

Primary responsibilities

• Responsible for assessment and coordination of medical care related to worker's compensation injuries; manages all accepted, routine los time claims.


• \" Works closely with adjusters, medical providers, managers to ensure coordination of appropriate care to medically rehabilitate individuals injured on the job and assist with return to work goals. \"


• \" Determine individual's fitness to return to duty. Evaluate return to work concerns from a physical capability and biological risk to human or product stand point. Work with management team to create an effective light duty. \"


• \" Develops case management plan through assessment, planning, implementation, and evaluation of patient' s progress. Evaluates patient's treatment plan for appropriateness and devises cost effective strategies for medical care. \"


• Maintains confidentiality of injured worker's medical, disability, and demographic information.


• \" Create medical records including: Employee Medical Files, Industrial Hygiene Monitoring Records, Workers Compensation carrier forms, disability records, medical surveillance records and logs and return to work notes. \"


• \" Conducts medical accommodation determinations for employees needing consideration in accordance with the Americans with Disability Act. Coordinates the interactive process that includes management, human resources. \"


• \" May provide occupational health services to plasma center locations throughout the US. Perform telephonic triage of injury events to determine the level of care needed for the injured worker. \"


• \" May provide nursing care for occupational and non-occupational injuries and illnesses via the following methods: symptomatic treatment, medical assessment, first aid, emergency transport, medical referrals, and appropriate follow-up and rehabilitation. \"


• Serve as a rotating on call staff member for all Grifols US based operations.


• Builds strong relationship with Staff Nurse RN to integrate delivery of medical services to employees.

Additional responsibilities

The Return to Work Case Manager RN will serve as lead in managing all worker's compensation cases and the ADA interactive process. The RTW Case Manager RN will respond to on site emergencies and will be the lead in determining treatment needs. Will coordinate and manage all medical return to work cases (exclusive of FMLA). The RN should work to stay abreast of current changes in the field of occupational health by attending meeting or webinars hosted by a professional organization in their local area. The RN is expected to support the manufacturing facilities, plasma organizatons and support areas of Grifols.

Knowledge, Skills, and Abilities

Incumbent knowledge should include an overall understanding of occupational health. Training in CPR, emergency first aid, immunology, ergonomics, and experience with OSHA requirements.

The Return to Work Case Manager RN 1 reports directly to the Clinical Nursing Supervisor or RTW Case Manager 3 or HMS Manager.

The RTW Case Manager RN consults with the HMS Manager and medical consultant physicians as needed, but is expected to make decisions based upon a combination of written directives,legal requirements, precedent, and previous experience.The RN is regularly in contact with medical providers who are providing non-occupational and occupational medical care and rehabilitation for employees. During these discussions the RN must know the employee's job, discuss work restrictions with the attending physician, and reach consensus with the physician about job placement. This often requires restrictions of work. These dialogues are sensitive and very important to the operation of the facility.

Education

Bachelors of Science or Associate Degree from a registered nursing program. State license(s) is/are also required.

Experience

A minimum of 1 years (Bachelors) or 3 years (Associates) of related experience in worker's compensation case management, Occupational Health Nursing, medical assessment, emergency medical care, clinic work, and/or public health nursing. Incumbent must be licensed to practice nursing in the state of North Carolina/California (dependent on location). Extensive knowledge a