Work at MEMIC
Nurse Case Manager
Location: Portland, ME
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.
- 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.
- 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 firstname.lastname@example.org. You can also reach us by calling 1-800-660-1306.