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| Employer Name: Chubb Group of Insurance Companies |
SpiderID: 2168949 |
| Location: Atlanta, Georgia |
Date Posted: 3/26/2008 |
| Wage: |
Category: Nurses/Nurses Aids |
| Job Code: 4897 |
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Job Description:
Job Summary:
To evaluate and expedite appropriate, cost effective medical treatment of injured employees with the goal of optimum medical improvement, and early return to work.
Major Duties/Responsibilities of Position:
I. Receives new assignments from adjusters to evaluate need for case management intervention.
A. Reviews initial investigation report;
B. Calls injured employee for relevant information on injury, current medical treatment and to inform employee of Case Manager's available assistance;
C. Calls physician for status of disability, treatment plan, and to inform the physician of Case Manager's available assistance;
D. Calls employer to inform them of employee's current work status, to discuss early return to work options, and to advise of Case Manager''s available assistance;
E. Completes preliminary report for adjuster. Identifies appropriate disability duration timeframes. Make recommendations as to further activities and need for continued case management. Proceeds as directed by adjuster;
II. As directed, monitors employee's progress.
A. Maintains contacts with employee, doctor, and employer to ensure timely and accurate information;
B. Develops plan of action to facilitate maximum medical recovery. Confers with adjuster, employee, and doctor to work within that plan, or to make necessary modifications;
C. Assists doctor and employee in locating ancillary medical services that may be needed (e.g. physiotherapy, x-rays, etc.). Recommends use of pre-determined PPO providers when appropriate. Seeks out alternative providers, as warranted;
D. Alerts adjuster to proposed medical care and possible alternative procedures. As directed by the adjuster, discuss alternatives with the treating physician;
E. Makes recommendation for the need for on site case management services based on severity and longevity of case.
III. Coordinates Early Return to Work Plan.
A. Develops action plan for early return to work (RTW). Such a plan must consider not only full duty RTW, but also modified and light duty. Confers with employer, employee, doctor, and adjuster to execute the plan, and/or determine necessary modifications;
B. Updates the employer on work status of employee and verifies status of RTW possibilities. Updates employee of RTW options;
C. Thirty day follow up with injured employee and employer to ensure smooth return to work;
IV. Assists Claims Department with identifying physicians to treat injured employees, Impartial Medical Examiners, and establishing or adding to Preferred Provider Organization. Establish a list of preferred physicians, OT/PT with addresses and telephone numbers.
Apply now at http://www.chubb.apply2jobs.com/index.cfm?fuseaction=mExternal.showJob&RID=4897&CurrentPage=1 or to review all openings, please visit http://www.chubb.apply2jobs.com/index.cfm
Job Requirements:
Knowledge & Skills (education, experience, etc., and the application of these on the job):
Bachelor of Science in nursing preferred. Registered nurse certification will also be accepted. CCM certification (Certified Case Manager) required. CDMS (Certified Disability Management Specialist) and/or CRRN (Certified Rehabilitation Registered Nurse) may be considered, depending upon experience, training, and knowledge. Minimum of three years experience in the medical management field required.
Excellent communication skills mandatory; this position will involve continuous personal, telephone, and written contact, and appropriate interpersonal skills are critical.
Must have knowledge of traumatic injuries, the resultant disabilities and medical complications, and the local Workers' Compensation Act. Should have working knowledge of the medical providers in the assigned geographical area.
Ability to work independently, and yet dependably meet deadlines. Time management and personal organization skills required.
Job Criteria:
Start Date:
Position Type: Full-Time Permanent
Years of Experience Required: 3
Education Required: Bachelors
Overnight Travel:
Vacation Time:
Contact Information:
| Contact Name: Becky |
Company Type: |
| Company: |
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| City: Findlay |
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| State: Ohio |
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| Zip: 45840 |
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Web Site: http://www.chubb.apply2jobs.com/index.cfm
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