Lowe’s Care Nurse – Case Manager

Lowe’s Care Nurse – Case Manager

Requirements

• Bachelor’s Degree in Nursing or Associate’s Degree with 5 years of experience in a clinical position.
• 3-5 Years of Experience as a Case Manager or Utilization Review Nurse in worker’s compensation
• Experience in a clinical position
• 1-2 Years of Clinical experience
• 3-5 Years of Experience required with Nurse Case Management Software, along with Microsoft Office
• Unrestricted RN license in home State
• CCM – Certified Case Manager
• CRRN – Certified Rehabilitation Registered Nurse
• CDMS – Certified Disability Management Specialist
• COHN – Certified Occupational Health Nurse or certification eligible
• CCM, CRRN, CDMS COHN or certification eligible to be completed within 2 years of hire

Responsibilities

• Manage an assigned caseload of medical workers’ compensation case
• Empower the employee with the tools to make informed decisions on their treatment options and set recovery expectations
• This position will be responsible for evaluating factors requiring judgment and problem-solving; promote return to work
• Work productively and in cooperation with internal and external personnel on a consistent basis
• Educate claims examiners and human resource staff on medical issues
• Team work for claims resolution
• Ability to apply for professional licenses in assigned states as required
• Pursues self-development and effective relationships with others by organizing resources and information; seeking performance feedback; adapting to and learning from change, difficulties, and feedback
• Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; displays high of effort and commitment towards performing work and demonstrates responsible behavior
• Ability to utilize clinical and nursing knowledge to determine future medical needs with associated costs
• Utilize clinical and nursing skills to develop Medical Cost Projections and Medicare Set-Asides for workers’ compensation and liability settlements based on published standards of practice
• Ability to interact with a MSA vendor on recommendations for reduction of medical costs
• Identify and outline Medicare and Non-Medicare covered treatment.

Preferred Qualifications

• Demonstrated experience in crisis management, coaching, educating and negotiating