Telephonic Workers' Compensation Nurse Case Manager (RN)

01460 Continental Casualty Company; Downers Grove (IL); Hybrid; USD 54,000 - 103,000; Full time

Benefits offered by this job

Hybrid work model

Job summary

CNA in Downers Grove, IL is seeking a Telephonic Nurse Case Manager to provide medical and disability case management within Workers' Compensation. This role involves assessing injured workers, coordinating evidence, and supporting timely decision-making and return-to-work outcomes.

The position offers a hybrid schedule with 2 days in the office. A Registered Nurse with BSN is preferred, CCM credential encouraged, and typically five years of clinical experience with disability management.

Qualifications

• Registered Nurse (RN) with BSN preferred.
• 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.

Responsibilities

• Assesses disability status, makes recommendations and identifies resources.
• Gathers and coordinates medical evidence for evaluation of functionality and determines disability length.
• Consults on case management issues and applies interventions.
• Collaborates with medical providers to ensure appropriate treatment and return to work.
• Facilitates job modifications and educates parties regarding claims process and functionality.
• Documents according to jurisdictional and accreditation requirements.

Skills

Case management

Communication

Interpersonal skills

Documentation

Time management

Microsoft Office

Education

Registered Nurse

BSN preferred

CCM credential preferred

Tools

Microsoft Office

Job description

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 include assessing injured worker needs, applying evidence-based case management principles, and collaborating with healthcare providers, employers, claimants, and claims professionals to support timely decision-making, appropriate treatment, and return-to-work outcomes. This position works a hybrid work schedule of 2 days per week in office.

JOB DESCRIPTION:

Essential Duties & Responsibilities

• 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 and accreditation requirements.

Reporting Relationship Typically Lead Specialty Nurse Case Manager

Skills, Knowledge and Abilities

• Strong knowledge of case management, specialty area, medical terminology and conditions, insurance industry as well as company policies and procedures.
• Ability to exercise professional judgement and assume responsibility for decisions which have an impact on people, costs and quality of service.
• Excellent verbal, written, and presentation skills with the ability to convey technical issues in a clear, concise and effective manner.
• Strong interpersonal skills with the ability to effectively interact with internal and external business partners.
• Detail oriented with strong organisational and analytical skills as well as the ability to prioritise and coordinate multiple tasks.
• Knowledge of Microsoft Office Suite as well as other business related software.
• Ability to work independently.

Education and Experience

• 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.

#LI-KP1 #LI-Hybrid

In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, NewYork and Washington, the national base pay range for this job level is $54,000 to $103,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location.

Benefits

• CNA offers a comprehensive and competitive benefits package to help our employees – and their family members – achieve their physical, financial, emotional and social wellbeing goals.

For a detailed look at CNA’s benefits, please visit cnabenefits.com.

CNA utilizes AI-enabled technology during the recruiting process. For more information, please visit our careers page.

CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact [e-mail]

At CNA, we are focused on success, individually and collectively.

We pride ourselves on promoting a culture that challenges and engages people. We strive to connect people, departments and business areas, to function as a team, and to serve our customers and communities with professionalism and respect.

Our dedication to employee engagement, continuous learning and the open exchange of ideas is the cornerstone of our business. These ideals, combined with our focus on the customer, enable us to explore new market opportunities and build on our success.

Our values, culture and financial strength are what differentiates us from other employers and make CNA the place you want to work.

At CNA, we are committed to advancing a culture of inclusion – one that attracts talent from all walks of life, fosters respect and collaboration, and enables all of our colleagues to do their best work.

At CNA, we have a long standing commitment to the diverse communities in which we live and work. We actively make a difference for the greater good through partnerships, sustainability, initiatives, and working together for a better tomorrow.

Corporate Social Responsibility is not one person, or one department, it’s the entire enterprise coming together to make the world a better place.