Telephonic Workers Compensation Nurse Case Manager NV
Company: Liberty Mutual
Location: Las Vegas
Posted on: April 17, 2024
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Job Description:
Pay PhilosophyThe typical starting salary range for this role is
determined by a number of factors including skills, experience,
education, certifications and location. The full salary range for
this role reflects the competitive labor market value for all
employees in these positions across the national market and
provides an opportunity to progress as employees grow and develop
within the role. Some roles at Liberty Mutual have a corresponding
compensation plan which may include commission and/or bonus
earnings at rates that vary based on multiple factors set forth in
the compensation plan for the role.
Description 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, responsible for medically managing assigned caseload and
by applying clinical expertise 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.
The selected candidate must live within a commutable distance to
our Tampa, FL, Plano, TX, Bala Cynwyd, PA, Syracuse, NY,
Indianapolis, IN, Las Vegas, NV, Rocklin, CA, Lake Oswego, OR or
Hoffman Estates, IL offices to attend collaborative in-person
meetings. As this team operates in a hybrid working environment, an
in-person presence is required 30-40% of the time, but this is
subject to change.
Due to the robust training program offered, the selected candidate
must be available (without any planned vacation) during the 10 week
training program.
The schedule for this position is Monday - Friday during the core
business hours of the region that the candidate supports.
Responsibilities:
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.
QualificationsAbility 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) or equivalent experience.
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.
About UsAt 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
profession.
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" on
IDG'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:
https://jobs.libertymutualgroup.com/diversity-inclusion
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, Spring Valley , Telephonic Workers Compensation Nurse Case Manager NV, Human Resources , Las Vegas, Nevada
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