Health Care Professional Case Manager

Directs and coordinates appropriate, timely, and cost effective delivery of health care through the case management process.

This includes disability, urgent and emergency care, FFD issues, immunizations, work limitations, transitional return to work plans, accommodations and part time work for worker's compensation and non-worker's compensation illness and injury.

Responsible for after hour coordination of emergency and urgent care services delivery.

• Identifies cases involving high frequency and high-risk injuries/illnesses. Performs ongoing evaluation and treatment plans for all identified cases.
• Determines essential job functions and identifies and implements necessary limitations, accommodations and part-time work for high frequency/high risk cases in which such an intervention could reduce the length of disability.
• Identifies cases requiring Physician level review for case management, coordinates the review process, and implements recommendations.
• Determines service needs, selects appropriate network service providers, evaluates provider services, and makes recommendations for retention or removal from the network.
• Establishes and maintains a confidential record keeping system for all cases involved in the case management process to support the process and all decisions made as part of the process.
• Coordinates with benefits, legal, employee relations, safety and industrial hygiene supervisors and other company areas for case management factors, concepts and concerns.
• Reports to OHS Lead Clinician.
• Responsible to be on call 24 hours a day/seven days a week.
• Registered Nurse, Nurse Practitioner, Physician Assistant (Licensed in State where service provided).
• 2 to 5 years of occupational health nursing experience or related field.
• Knowledge and understanding of the provision of case management for workers compensation, disability, limited duty, safety, Industrial Hygiene, healthcare plans, regulatory medical requirements and external healthcare resources.
• Ability to work in and contribute to a team environment.

• Experience with Microsoft office applications
• BSN, CCM, COHN, MSN, MPH or Master's in related field.
• Evaluation, assessment, solving, and negotiating skills.
• Annual salary will vary based on a candidate’s skills, qualifications, experience, and other factors: $94,400.00/Yr. – $129,800.00/Yr.
• Annual Bonus for eligible positions: 15%
• 401(k) match and annual company contribution
• Medical, dental and vision insurance
• Life and disability insurance
• Generous paid time off options, including vacation, sick time, floating and fixed holidays, maternity leave and bonding/primary caregiver leave or parental leave
• Employee Assistance Program and resources for mental and emotional support
• Wellbeing programs such as tuition reimbursement, adoption and surrogacy assistance and fitness reimbursement
• Referral bonus program
• And much more