Field Medical & Disability Case Manager – RN
About Liberty Mutual Group
“Helping people live safer, more secure lives” since 1912, Boston-based Liberty Mutual Group is a diversified global insurer and third largest property and casualty insurer in the U.S. based on A.M. Best Company’s report of 2010 net written premium.
The Group also ranks 82nd on the Fortune 100 list of largest corporations in the U.S.
based on 2010 revenue. As of December 31, 2010, Liberty Mutual Group had $112.4 billion in consolidated assets, $95.4 billion in consolidated liabilities, and $33.2 billion in annual consolidated revenue.
Liberty Mutual Group offers a wide range of insurance products and services, including personal automobile, homeowners, workers compensation, property, commercial automobile, general liability, global specialty, group disability, reinsurance and surety.
Liberty Mutual Group (www.libertymutualgroup.com) employs over 45,000 people in more than 900 offices throughout the world.
Advance your career at Liberty Mutual - A Fortune 100 Company!
If you're a registered nurse looking for a new opportunity to work in a fast-paced, professional environment where your talent contributes to our competitive edge, Liberty Mutual has the opportunity for you. This position requires collaborating with physicians, other medical providers, patients, employers, and claims professionals by providing nurse case management services for workers compensation claims. While you will be based out of your home, the position involves daily travel to attend physician and PT appointments, conduct visits at a patient's home and meet with the patient's employer to assess job requirements and explore return to work opportunities.
Responsibilities:
- Effectively manage assigned caseload of medical/disability cases within company and regulatory guidelines
- Communication with claimants, medical professionals, claims staff and others to obtain information necessary to make sound medical decisions
- Responds to various written, telephone and/or in-person inquiries regarding status of case
- Completes initial case evaluation by assessing injury/disability severity, treatment plans, functional abilities and physical job requirements and then establishes case-specific target return-to-work (RTW) dates
- Appropriately applies clinical expertise to claims and delivers services in an efficient and effective manner
- Accurately and appropriately charges for services rendered
- Achieves annual chargeable time goal. Handles special projects as assigned
- Appropriately utilizes internal and external resources and referrals i.e., Utilization Review, Peer Review, Claims Case manager, Regional Medical Director Consults, and Vocational Rehabilitation to achieve best possible case outcome
- Will conduct in-person visits on assigned cases with claimants, medical professions and the employer to assess medical recovery, physical capabilities, RTW barriers, physical job requirements, modified duty opportunities and the work environment
- Will complete one-time in person visits on selected claims, upon request from the claims staff
- Documents all RN activities (tasks) accurately, concisely and on a timely basis (this includes documenting the medical and disability case management strategies for claim resolution, based on clinical expertise)
- Adheres to confidentiality policy
Qualifications:
- Current unrestricted registered nurse (R.N.) license in the state where the position is based and other assigned states as required by law
- Valid Driver's License in the state where the position position is based
- Ability to work from home, independently, under little supervision
- Ability to travel by car to appointments, site visits etc.
- Degree from an accredited nursing school required, Bachelor of Science in Nursing preferred
- 3-5 Years clinical nurse experience with a preference for previous orthopedic, emergency room, critical care, home care or rehab care experience
- Proficiency with MS Word, MS Outlook, MS Excel required
- Strong communication skills in order to effectively communicate with claimants, medical professionals, employers, claims staff and others
- Good negotiation skills to effectively establish target return to work dates
- Preferably holds one of the following certifications; CCM, CDMS, CRRN, COHN
- Valid driver's license in the state where the position is based and other assigned states
- Reliable transportation for daily travel to site visits
- Bilingual is a plus
Benefits:
We recognize that talented people are attracted to companies that provide competitive pay, comprehensive benefits packages and outstanding advancement opportunities. For this reason we offer a Comprehensive Benefits Plan that includes the following:
- 401K and Company paid pension plan
- Medical coverage
- Dental coverage
- Paid time-off
- Pay-for-Performance
- Discounts on automobile and homeowner's insurance
- Discount fitness memberships
- Flexible spending accounts
- Tuition reimbursement
- Vision care coverage
- Work/Life resources
- Credit Union membership
- Employee and Dependent life insurance
- Disability insurance
- Long-term care insurance
Overview:
We believe strongly that commercial success can be achieved in a manner consistent with principles and ideals that bind us together as one company, that set us apart from our competitors, and that in the end will allow us to say we have succeeded commercially by doing the right thing the right way.
We believe that the Company's success is inextricably linked to our employees' satisfaction and success: satisfaction that they work for an industry leader committed to improving safety, satisfaction that they work for a company that does the right thing, and satisfaction that the company will reward them for their contributions and provide opportunities for personal growth and success.
We believe our employees take pride in knowing that they help people live safer more secure lives every day.
Additional Information:
- Travel Percentage: 75%
