Nurse Case Manager - Worker's Compensation - South Region
Company: Liberty Mutual
Posted on: June 10, 2021
If you're a registered nurse looking for a new opportunity to
work in a fast-paced, professional environment where your talent
contributes to our competitive edge, Liberty Mutual Insurance has
the opportunity for you. Under general technical direction, the
telephonic nurse case manager is responsible for medically managing
assigned caseload and applying clinical expertise to ensure
individuals receive appropriate healthcare in order to return to
work and normal activity in a timely and cost effective manner.
Caseload may include catastrophic/complex medical/disability cases,
lost time, and/or medical only claims. Also act as a clinical
resource for field claim partners.
Ideally, candidate would live in one of Liberty Mutual's South
Regional hub locations: Plano, TX or Tampa, FL. However, candidates
residing in other Liberty Mutual Office locations may be
- Follows Liberty Mutual's established standards and protocols to
effectively manage assigned caseload of medical/disability cases
and by applying clinical expertise assist to achieve optimal
outcome and to facilitate claim resolution and disposition.
- Effectively communicates with injured employees, medical
professionals, field claims staff, attorneys, and others to obtain
information, and to negotiate medical treatment and return to work
plans using critical thinking skills, clinical expertise and other
resources as needed to achieve an optimal case outcome.
- Utilizes the Nursing Process (assessment, diagnosis, planning,
intervention and evaluation) to facilitate medical management to
attain maximum medical improvement and return-to-work (RTW) per
state jurisdictional requirements.
- Appropriately utilizes internal and external resources and
referrals i.e., Utilization Review, Peer Review, Field Claims
Specialists, Regional Medical Director Consults, and Vocational
Rehabilitation to achieve best possible case outcome.
- Follows general technical direction from nurse manager, senior
medical and disability case manager and/or CCMU staff to resolve
highly complex medical and/or RTW issues and/or successfully manage
catastrophic injuries. Documents all RN activities accurately,
concisely and on a timely basis. This includes documenting the
medical and disability case management strategies for claim
resolution, based on clinical expertise.
- Adheres to confidentiality policy. Appropriately applies
clinical expertise to claims and delivers services in an efficient
and effective manner. Accurately and appropriately documents
billable time for work performed. Achieves annual chargeable time
goal. Handles special projects as assigned.
- May conduct telephonic assessments on assigned cases with
injured employees, medical professions and the employer to assess
medical recovery, physical capabilities, RTW barriers, physical job
requirements, modified duty opportunities.
- Ability to analyze and make sound nursing judgments and to
accurately document activities.
- Strong communication skills in order to build relationships
with injured employees, medical professionals, employers, field
claims staff and others.
- Good negotiation skills to effectively establish target return
to work dates and coordinate medical care.
- Knowledge of state, local and federal laws related to health
care delivery preferred.
- Personal computer knowledge and proficiency in general computer
applications such as Internet Explorer and Microsoft Office
(including Word, Excel and Outlook).
- Degree from an accredited nursing school required (prefer
Bachelor of Science in Nursing).
- Minimum of 3 to 5 years of clinical nursing experience; prefer
previous orthopedic, emergency room, critical care, home care or
rehab care experience.
- Previous medical case management experience a plus.
- Must also have current unrestricted registered nurse (R.N.)
license in the state where the position is based and other assigned
states as required by law.
- Must have additional professional certifications, such as CCM,
COHN, CRRN, etc., where required by WC law.
At Liberty Mutual, our purpose is to help people embrace today
and confidently pursue tomorrow. That's why we provide an
environment focused on openness, inclusion, trust and respect.
Here, you'll discover our expansive range of roles, and a workplace
where we aim to help turn your passion into a rewarding
Liberty Mutual has proudly been recognized as a "Great Place to
Work" by Great Place to Work US for the past several years. We were
also selected as one of the "100 Best Places to Work in IT" onIDG's
Insider Pro and Computerworld's 2020 list. For many years running,
we have been named by Forbes as one of America's Best Employers for
Women and one of America's Best Employers for New Graduates-as well
as one of America's Best Employers for Diversity. To learn more
about our commitment to diversity and inclusion please visit:
We value your hard work, integrity and commitment to make things
better, and we put people first by offering you benefits that
support your life and well-being. To learn more about our benefit
offerings please visit: https://LMI.co/Benefits
Liberty Mutual is an equal opportunity employer. We will not
tolerate discrimination on the basis of race, color, national
origin, sex, sexual orientation, gender identity, religion, age,
disability, veteran's status, pregnancy, genetic information or on
any basis prohibited by federal, state or local law.
Keywords: Liberty Mutual, Plano , Nurse Case Manager - Worker's Compensation - South Region, Other , Plano, Texas
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