Return to Work Case Manager

Rishabh RPO; Clayton (NC); On-site; USD 70,000 - 100,000; Full time

Job summary

Rishabh RPO seeks a Return to Work Case Manager (RN) in Clayton, NC. The RN will manage medical case coordination for workers' compensation and non-work related absences, promoting early return to work and efficient claims resolution across management, carriers, physicians, and workers.

The role emphasizes coordination, medical assessment, and communication with healthcare providers to ensure appropriate care and timely return-to-work planning.

Qualifications

• Nurse with knowledge of workers' compensation
• CPR/First aid training
• Experience communicating with physicians, managers, and insurers

Responsibilities

• Assess and coordinate medical care for workers' comp injuries.
• Manage routine lost-time claims and coordinate with adjusters.
• Determine fitness to return to duty and develop light-duty plans.
• Maintain medical records and ensure confidentiality.
• Provide on-site nursing care and telephonic triage as needed.

Skills

Occupational health

CPR/First aid

Communication with providers

Education

BSN or ADN from an accredited program

State RN license

Job description

Job Title: Return to Work Case Manager (RN)

Location: Clayton, NC 27520

Duration: 6+ Months (Possible long-term extension)

Schedule: Mon- Fri 7:30 am-4:00 pm

Job Description

Summary

Provides medical case management services to Client 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 Client's 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 centers US based operations.

Builds strong relationships with Staff Nurse RNs to integrate medical service delivery 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 organisatons and support areas of client.

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 and understanding of the ADAA and the processes and procedures involved in the interactive process.
• Certification via the American Board of Occupational Health Nursing COHN-S OR COHN is preferred.
• Certification in case management or related specialty is preferred.

Occupational Demands

• Work is performed in an office environment with exposure to electrical office equipment.
• Frequently sits for 6-8 hours per day.
• Repetitive hand movement of both hands with the ability to make fast, simple, repeated movements of the fingers, hands, and wrists.
• Frequently walks.
• Occasionally bends and twists neck.
• Light to moderate lifting and carrying objects with a maximum lift of 30lbs.
• Frequently drives to site locations with occasional travel within the United States.
• Able to communicate information and ideas so others will understand; with the ability to listen to and understand information and ideas presented through spoken words and sentences.
• Interacts with others, relates sensitive information to diverse groups.