电话护士案例经理
Telephonic Nurse Case Manager
职工赔偿电话护士案例经理负责评估并加快对受伤员工的适当、经济有效的医疗治疗，以实现最佳的医疗改善。TCM负责残疾管理，包括积极的早期返岗协调。与理赔和医疗团队密切合作以实现个案和部门目标是该职位的关键组成部分。这是一份全职远程职位。
知识和技能：
- 出色的口头和书面沟通能力。该职位将涉及持续的个人、电话和书面交流。
- 强大的人际交往和关系建立能力。
- 了解创伤性伤害及其导致的残疾和医疗并发症。
- 了解工伤赔偿法，并熟悉所辖地区的医疗提供者。
- 熟悉医疗治疗指南和残疾时长指南的使用。
- 使用微软办公产品经验，能够学习其他技术工具。
- 强大的时间管理、批判性思维和组织能力，能够独立工作以管理优先级并按时完成任务
主要职责：
- 及时完成初始评估报告、案例管理计划，并确定残疾时长的时间框架。
- 在任务期间审查、分析并批判性评估医疗记录，与基于循证治疗指南进行比较；作为制定医疗行动计划的一部分，向理赔员传达发现和建议。
- 积极参与理赔团队，审查、制定并执行行动计划。
- 根据残疾时长指南制定和维护早期返岗（RTW）行动计划。
- 与所有相关方协作，有效管理康复和返岗过程。
- 达到生产率要求。
- 根据指南有效管理库存。
教育和经验：
- 需要持有有效的注册护士（RN）执照，并愿意根据需要获得其他执照。本科护理学（BSN）优先。
- 持有认证案例经理（CCM）证书、CDMS和/或CRRN优先。
- 持有互惠执照优先。
- 工伤赔偿案例管理经验3年优先。
- 熟练使用MS Office产品
- 西班牙语双语者优先
薪资范围
查看英文原文
The Workers’ Compensation Telephonic Nurse Case Manager is responsible for evaluating and expediting appropriate, cost-effective medical treatment of injured employees with the goal of optimum medical improvement. The TCM is responsible for disability management, including proactive early return to work coordination. Close collaboration with the claims and medical team to achieve individual case and department goals is a critical component of the position. This is a full-time remote position.
KNOWLEDGE AND SKILLS:
- Excellent verbal and written communication skills. This position will involve continuous personal, telephonic, and written contact.
- Strong interpersonal and relationship building skills.
- Knowledge of traumatic injuries and the resultant disabilities and medical complications.
- Knowledge of Workers’ Compensation Acts and working knowledge of the medical providers in the assigned territory.
- Knowledge and expertise in use of medical treatment guidelines and disability duration guidelines.
- Experience using Microsoft Office products and ability to learn other technology tools.
- Strong time management, critical thinking, and organizational skills with the ability to work independently to manage priorities and meet deadlines
MAJOR DUTIES/RESPONSIBILITIES OF THE JOB:
- Complete timely initial assessment report, case management plan, and establish disability duration timeframes.
- Throughout the life of an assignment review, analyze and critically assess medical records compared to evidence-based treatment guidelines; communicate findings and recommendations to the adjuster as part of the development of a medical action plan.
- Active participation with claims team to review, establish, and execute action plan.
- Develop and maintain action plan for early return to work (RTW) based on disability duration guidelines.
- Work collaboratively with all stakeholders to effectively manage recovery and return to work process.
- Meet productivity requirements.
- Effectively manage inventory based on guidelines.
EDUCATION AND EXPERIENCE:
- Registered Nurse (RN) license in good standing required and willingness to obtain additional licenses as needed.BSN preferred.
- Certified Case Manager (CCM) certification, CDMS and/or CRRN preferred.
- Compact license preferred.
- 3-years experience in Workers’ Compensation Case Management preferred.
- Proficiency with MS Office products
- Bi-lingual in Spanish a plus
The pay range for the role is $71,000 to $104,00. The specific offer will depend on an applicant’s skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program.Chubb offers a comprehensive benefits package, more details on which can be found on our careers website.The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.
Originally posted on Himalayas