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Work at MEMIC

Job Openings

Nurse Case Manager

Location:
Portland, ME

General Description: 
The Nurse Case Manager (NCM) utilizes their expertise to resolve workers’ compensation claims by working with the injured worker to provide proper, efficient, timely and cost-effective healthcare services. The NCM does this through the processes of evaluation, assessment, planning and implementation with the ultimate goal leading to a medically rehabilitated individual ready to return to an optimal level of work and functioning.  

Responsibilities:

  • Conducts a comprehensive assessment of the injured worker's physical and/or bio-psychosocial needs in collaboration with the employer and medical provider to coordinate the medical care and return to work plan throughout the life of the claim.
  • Acts as a liaison between the injured worker, the medical provider and the employer as to medical rehabilitation issues and return to work plan.
  • Develops strategies to maximize medical outcomes in a cost effective manner.
  • Coordinates with medical providers to ensure the injured employee is actively participating in a viable treatment plan. 
  • Evaluates medical treatment requests to ensure that they are reasonable and necessary based upon jurisdictional guidelines. 
  • Works in collaboration with claim professionals as a medical resource to promote optimal outcomes.  
  • Engages specialty resources as needed to achieve optimal resolution.

Experience:
  • Registered nurse with current, valid state licensure required. 
  • Minimum of two (2) years of direct clinical care to consumers, industrial rehabilitation and/or occupational nursing preferred.
  • Excellent communication (written and verbal), analytical and organizational skills are essential.
  • Ability to identify and resolve problems in a timely manner, while able to gather and analyze information.
  • Ability to demonstrate accuracy and thoroughness.
  • Must have proficient computer skills, including Microsoft Office programs. 
  • Ability to set priorities and work independently is essential. 
  • Ability to effectively manage a minimum caseload of 35 files.

How to Apply:
 Apply by sending resume to hr@memic.com. You can also reach us by calling 1-800-660-1306.