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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in case management strategies, clinical assessments, and effective communication with stakeholders to facilitate medical recovery and return to work. Proficient in negotiating treatment plans and ensuring compliance with ethical and regulatory standards.
Highest-signal resume keywords
Current RN LicenseCase Management CertificationClinical Assessment SkillsMedical/Clinical KnowledgeRehabilitation Nursing Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical AssessmentsCase Management StrategiesTreatment NegotiationCost ContainmentReturn-To-Work Solutions
Soft Skills
CommunicationRelationship BuildingStress ManagementMultitaskingDeadline Management
Tools & Technologies
Computer Keyboarding
Certifications & Qualifications
Case Management CertificationRehabilitation Nursing Certification
Industry Keywords
Medical RecoveryClaims ExaminationEthical StandardsRegulatory ComplianceClient Privacy
About the role
Key responsibilities & impact- Partner with injured workers, employers, and medical providers to create case management strategies
- Facilitate medical recovery and successful return to work through advocacy, communication, and coordination of medical services
- Perform initial and ongoing clinical assessments by telephone
- Evaluate injuries, medical treatment, psychosocial needs, cultural implications, and support systems
- Communicate and build relationships with claims examiners, clients, injured workers, attorneys, and supervisors
- Identify delayed recovery and return-to-work issues and develop solutions
- Negotiate treatment and disability duration with providers using medical and disability-duration guidelines
- Identify opportunities to expedite care for cost containment and timely recovery
- Recommend alternative clinical resources to support claim resolution
- Maintain client privacy and confidentiality, promote safety and advocacy, and comply with ethical, legal, accreditation, and regulatory standards
Requirements
What you’ll need- Current unrestricted RN license(s) in a state or territory of the United States required
- Bachelor's degree in nursing (BSN) from an accredited college or university or equivalent work experience preferred
- Certification in case management, rehabilitation nursing, or a related specialty highly preferred
- Medical/clinical or rehabilitation knowledge and experience
- Ability to handle work-related stress
- Ability to handle multiple priorities simultaneously
- Ability to meet deadlines
- Computer keyboarding ability
- Hearing, vision, and talking abilities
Benefits
Comp & perks- Work-life balance
- Remote work environment
- Flexibility and autonomy in daily work, location, and career path
- Professional development opportunities
- Continuing education credits
- Team building initiatives
- Diverse and comprehensive benefits package
- Three medical plans
- Two dental and vision plans
- Tuition reimbursement
- 401K plan with 50% matching on every dollar contributed up to the first 6% saved
- 4 weeks PTO in the first full year
- Disability insurance
- Life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
