WCF Insurance
WCF has an immediate opening for someone who can demonstrate the WCF values to join their team as a Nurse Case Manager reporting to the Manger, Medical Case Management. This is a home-based position in Salt Lake County and/or surrounding areas with appointments along the Wasatch Front and may have occasional travel to surrounding areas.
Graduate of an accredited RN program with current Utah license At least three years of clinical experience in critical care, rehabilitation, orthopedics, home health, or community or occupational health At least one year of nurse case management experience or a national certification, CCM or CRRN, preferred Knowledge of workers' compensation system Excellent computer, communication, verbal and written, and interpersonal skills Valid Utah driver's license Reliable vehicle for transportation and high-speed internet access Bilingual proficiency in English and Spanish is a plus
Provide on-site nurse case management services (or telephonically as appropriate) to injured workers with complex or catastrophic injuries. Utilize the nursing process and implement the case management process in day-to-day case-management work activities. Attend injured worker medical appointments with community healthcare providers and coordinate all medically approved services. On going communication with injured workers, providers and adjusters to coordinate care, identify issues and needs of the injured worker and timely follow through with care plan to maintain continuity of care and support recovery. Provide timely documentation of medical rehabilitation plan, progress, and recovery. Utilize critical thinking and problem-solving skills to address any complications or challenges that may arise. Prioritize and manage a caseload of injured workers efficiently, ensuring that all needs are met within set timelines. Work closely with medical providers to facilitate care. Serve as a medical resource to claims adjusters, vocational rehabilitation counselors, legal department and other WCF employees. Maintain RN licensure and continue to enhance learning of industrial injuries through regular attendance at WCF continuing-education events.
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