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Client is looking to onboard a Nurse Case Manager, in a contingent role. We are looking for an IL licensed RN with 1-2 years of experience as a nurse case manager. This would be a short term position to assist during a medical leave for an associate with the client. This role will be a remote job, Monday – Friday, 40 hours per week. It is preferred the candidate has multi state case management experience, but Illinois is a requirement.
Job Responsibility:
Complete early medical management assessment and intervention on claims requiring medical treatment
Contact injured workers and medical providers to obtain necessary information
Apply knowledge, experience and evidence-based guidelines to evaluate claims and provide a proactive action plan
Perform essential medical case management activities assessment, planning, implementation, monitoring and evaluation within accepted treatment guidelines
Identify and monitor claims for task assignments to field case managers
Address medical cost containment through utilization management, collaboration with providers and assessing network resources
Requirements:
Minimum of a registered nurse degree with IL licensure
Must have at least one year as a worker’s compensation case management nurse
Must have two or more years of clinical experience in orthopedics, occupational medicine or internal medicine