W. R. Berkley Corporation

Manager

• Assess, plan, coordinate, monitor, evaluate and implement options and services to facilitate timely medical care and return-to-work outcomes of injured workers
• Coordinate and implement medical case management to facilitate case closure
• Communicate with employers, adjusters and injured workers
• Assess utilization of medical treatment and services through contact with physicians and other specialists
• Review and analyze medical records and assess data to support case management and recommend case progress toward closure
• Manage assigned caseloads across varying numbers, territories and state jurisdictions
• Acquire and maintain nursing licensure for jurisdictions as business needs require
• Coordinate home services, durable medical equipment, IMEs, admissions, discharges and vocational services, evaluating cost effectiveness and quality
• Document activities and case progress using appropriate methods and tools
• Review job analyses and job descriptions with providers and employers to coordinate disability case management and return to work
• Participate in special projects assigned by case management leadership
• Occasionally attend onsite meetings and professional programs
• Maintain and update evidence-based medical guidelines and state-regulated guidelines
• Obtain and maintain applicable state certifications and/or licensures
• Obtain CCM certification within 2 years of hire date
• Foster a teamwork environment

Workers Compensation – Telephonic Nurse Case Manager

• Assess, plan, coordinate, monitor, evaluate and implement options and services to facilitate timely medical care and return-to-work outcomes for injured workers
• Coordinate and implement medical case management to facilitate case closure
• Communicate with employers, adjusters and injured workers
• Assess utilization of medical treatment and services through contact with physicians and other specialists to ensure cost-effective, quality care
• Review and analyze medical records and assess data to support appropriate case management and recommend case progress toward closure
• Manage assigned caseloads, which may vary by number, territory and/or state jurisdiction
• Coordinate home services, durable medical equipment, IMEs, admissions, discharges and vocational services when appropriate
• Document activities and case progress using appropriate methods and tools
• Review job analyses and job descriptions with providers and employers to coordinate disability case management and return to work
• Participate in special projects assigned by case management leadership
• Occasionally attend onsite meetings and professional programs
• Foster a teamwork environment
• Maintain and update evidence-based medical guidelines in reference to injured-worker treatment plans and work status

Workers Compensation – Telephonic Nurse Case Manager

Workers Compensation, Telephonic Nurse Case Manager