Nurse Planner (29704)

Education and/or Experience: Minimum of an Associates degree or equivalent certification preferred. A minimum of two years workers’ compensation and/or case management experience preferred. A minimum of one year experience in Medicare Set Asides required. Certificates, Licenses, Registrations: Will recognize any of the following: Active unrestricted Nursing license (including but not limited to RN, NP LVN, LPN). Active unrestricted Adjuster license. Certification in Medicare Set Asides and/or certifications in Life Care Planning or Legal Nurse Consulting. QUALIFICATIONS: Knowledge of the disability and workers' compensation industry including rules and regulations and a full understanding of Medicare rules and regulations. Must be able to adequately operate a general computer, fax, copier, scanner, and telephone. Must have adequate knowledge of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet. Ability to demonstrate critical thinking and problem solving skills. Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed. Must be able to work independently, prioritize work activities and use time efficiently. Ability to concentrate and multitask in a fast paced work environment. Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met. Must be able to maintain confidentiality. Must be able to demonstrate and promote a positive team -oriented environment. Must be able to work well under pressure and/or stressful conditions. Must possess the ability to manage change, delays, or unexpected events appropriately. Must be able/willing to work on a flexible schedule when needs arise. Must possess excellent skills in English usage, grammar, punctuation and style. Demonstrates reliability and abides by the company attendance policy. LANGUAGE/COMMUNICATION SKILLS: Ability to read, analyze and interpret common to complex correspondence, medical records, various reporting records, legal contracts and/or related case documents. Ability to write clearly and informatively to all required audiences and edit own work for appropriate spelling and grammar. Ability to respond appropriately and professionally to all inquiries or complaints from clients, physicians, upper management, regulatory agencies, and/or members of the business community. Ability to effectively present information one-on-one, in small groups, and/or clients or vendors of the company. Demonstrates reliability and abides by the company attendance policy. LANGUAGE/COMMUNICATION SKILLS: Ability to read, analyze and interpret common to complex correspondence, medical records, various reporting records, legal contracts and/or related case documents. Ability to write clearly and informatively to all required audiences and edit own work for appropriate spelling and grammar. Ability to respond appropriately and professionally to all inquiries or complaints from clients, physicians, upper management, regulatory agencies, and/or members of the business community. Ability to effectively present information one-on-one, in small groups, and/or clients or vendors of the company. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position generally consists of: Sitting 5-7 hours per day during office time requirements. During day travel sitting, standing and/or walking for blocks of time may be required. Occasionally climbing one or more flight of stairs Occasionally lifting and/or carrying up to 10 lbs. Occasionally pushing/pulling up to 10 lbs. Occasionally subject to bending, squatting or twisting. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Extended hours are occasionally required beyond the regular eight (8) hour work day. Works in a home office environment and/or occasionally from an office environment. The noise level in the work environment is usually moderate, but may vary during travel.

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