• Clinical Case Manager

    Job Locations US-NJ-Jersey City
    Posted Date 3 months ago(9/24/2018 4:50 PM)
    Job ID
    2018-1442
    # of Openings
    2
    Category
    Other
  • Overview

    PURPOSE:   The Clinical Case Manager provides clinical oversight to medical disability and leave of absence claims. As the subject matter expert on these files, the registered nurse (RN) reviews claim decisions and is consulted on a variety of case management initiatives including medical disability durations, return to work obstacles and/or return to work planning and clinical guidance/education.

    Responsibilities

    ESSENTIAL FUNCTIONS:

    1. The Clinical Case Manager is a subject matter expert on illnesses and injuries. When applicable, they research pathology to gain necessary information applicable to the case management process.
    2. The CCM has expertise in functional implications of illnesses/injuries as it relates to occupational requirements. They leverage this expertise by educating and guiding the case managers throughout the claim process.
    3. The CCM has clinical knowledge to ascertain probable optimal recovery duration based on pathology, severity, treatment and its implication on occupational requirements.
    4. Demonstrates adherence to Reed Group, Ltd. values and performance guidelines.
    5. Manage production requirements, organize priorities, provide timely intervention and maintain sensitivity to confidential records.
    6. Ensure quality standards for case management are met. Implement Reed Group’s continuous quality improvement process whenever efficiencies or quality standards are not met.

     

    OTHER DUTIES:

    1. Attend department and company meetings.
    2. Provide support to peers as needed.
    3. Other duties as required.

    Qualifications

    QUALIFICATIONS:

    • 5+ year’s clinical experience and a minimum of 3 years of case management experience in occupational health, workers’ compensation, or disability/absence management.
    • Registered Nurse with valid and current state nursing license (unrestricted)
    • COHN and/or CCM, preferred
    • Excellent interpersonal communication skills.
    • Advanced knowledge of medical documentation
    • Ability to type 50+ WPM
    • Intermediate to advanced level of computer experience.

    ReedGroup is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability, protected veteran status or any other status protected by applicable law.

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