Registered Nurse I - Case Manager, Return-to-Work

Dhaka Technologies Limited Company; Washington; On-site; USD 61,992,000 - 82,656,000; Part time

Job summary

Dhaka Technologies Limited Company in Washington, United States is seeking a Registered Nurse I to provide comprehensive medical case management for the Public Sector Workers' Compensation and Return to Work programs. The onsite role coordinates care among injured workers, physicians, employers, and other stakeholders with core hours 8:30 a.m. to 5:00 p.m.

ET, Monday through Friday. The position requires an RN license in DC, at least one year of relevant nursing experience, strong analytical and

Qualifications

• Graduation from an accredited professional nursing program.
• Current RN licensure in the District of Columbia.
• At least 1 year of specialized nursing experience involving medical assessment, planning, implementation, utilization review, and evaluation of patient progress.
• Clinical experience in orthopedics, neurology, rehabilitation, or utilization review.
• Knowledge of clinical concepts, case management principles, healthcare regulations, and workers' compensation related medical issues.
• Strong analytical, communication, and interpersonal skills.
• Proficiency with Microsoft Office applications and electronic medical and claims systems.

Responsibilities

• Provide comprehensive medical case management services in support of the Public Sector Workers' Compensation Program and the Return to Work Program.
• Conduct medical assessments and evaluate injured workers' clinical status, treatment plans, functional capabilities, and recovery progress to facilitate timely and appropriate medical care.
• Develop, implement, monitor, and revise individualized case management plans designed to promote recovery, maximize medical improvement, and facilitate safe return to work outcomes.
• Coordinate and manage medical care among injured workers, treating physicians, specialists, rehabilitation providers, employers, supervisors, and other stakeholders to ensure continuity of care and effective case resolution.
• Review and evaluate medical records, treatment plans, utilization requests, and related documentation to determine medical necessity, appropriateness of care, and compliance with applicable workers' compensation guidelines.
• Conduct utilization review, treatment plan review, and medical billing review to support cost effective and medically appropriate care.
• Identify claims suitable for return to work initiatives and collaborate with agency representatives and healthcare providers to develop and implement transitional duty assignments and workplace accommodations.
• Establish return to work status, projected recovery timelines, maximum medical improvement targets, work restrictions, and functional capacity recommendations based on medical evidence and provider input.
• Monitor injured workers throughout the recovery process, including pre return to work and post return to work activities, to ensure successful reintegration into the workplace.
• Communicate regularly with injured workers, supervisors, healthcare providers, agency representatives, claims examiners, and other stakeholders regarding case status, treatment progress, return to work planning, and medical management activities.
• Prepare medical status reports, case summaries, recommendations, and other documentation to support claim administration, program management, and decision making.
• Provide consultation, guidance, and training to agency personnel regarding workers' compensation medical management, return to work strategies, injury prevention, and transitional duty programs.
• Present medical findings, case assessments, and professional recommendations during claim reviews, mediations, administrative hearings, and other proceedings as required.
• Maintain accurate, timely, and complete case documentation in accordance with applicable laws, regulations, policies, procedures, and professional standards.
• Safeguard confidential medical and personnel information and ensure compliance with all applicable privacy and security requirements.
• Perform other related duties as assigned in support of the Public Sector Workers' Compensation Program and the Return to Work Program.

Skills

Nursing

Case management

Medical assessments

Communication

Interpersonal skills

Microsoft Office

EMR/claims systems

Education

Nursing program (RN)

Tools

EMR systems

Claims processing software

Job description

Dhaka Technologies Limited Company in Washington, United States is seeking a Registered Nurse I to provide comprehensive medical case management for the Public Sector Workers' Compensation and Return to Work programs. The onsite role coordinates care among injured workers, physicians, employers, and other stakeholders with core hours 8:30 a.m. to 5:00 p.m.

ET, Monday through Friday. The position requires an RN license in DC, at least one year of relevant nursing experience, strong analytical and