Hybrid RN Nurse Case Manager - Workers' Compensation

CNA Insurance; Downers Grove (IL); Ibrido; USD 54.000 - 103.000; Tempo pieno

Descrizione del lavoro

CNA Insurance in Downers Grove, IL is seeking a Telephonic Nurse Case Manager to manage medical and disability case management within the Workers' Compensation claims department. This role partners with healthcare providers, employers and claim professionals to support timely decisions and return-to-work outcomes.

It operates on a hybrid schedule with two days in the office each week, and requires strong clinical judgment and communication skills to coordinate care and drive outcomes.

Competenze

• 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.

Mansioni

• Assesses disability status, makes recommendations and identifies appropriate resources.
• Gather and coordinate medical evidence for evaluation of functionality and disability duration.
• Consults on case management issues and applies effective interventions.
• Collaborates with medical providers to ensure appropriate treatment and return to work.
• Facilitates job modifications and educates involved parties regarding claims process and functionality relative to job requirements.
• Addresses causality and refers to appropriate medical expertise.
• Documents according to jurisdictional, departmental and accreditation requirements.

Conoscenze

Case management

Medical terminology

Insurance industry knowledge

Professional judgment

Communication

Interpersonal skills

Organizational skills

Analytical skills

Microsoft Office

Independent work

Formazione

RN licensure

BSN preferred

CCM credential preferred

Strumenti

Microsoft Office

Descrizione del lavoro

CNA Insurance in Downers Grove, IL is seeking a Telephonic Nurse Case Manager to manage medical and disability case management within the Workers' Compensation claims department. This role partners with healthcare providers, employers and claim professionals to support timely decisions and return-to-work outcomes.

It operates on a hybrid schedule with two days in the office each week, and requires strong clinical judgment and communication skills to coordinate care and drive outcomes.