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Travelers RN Medical Case Manager - Workers Compensation Richmond or Charlotte in Charlotte, North Carolina

22663BR

Title:

RN Medical Case Manager - Workers Compensation Richmond or Charlotte

Target Openings:

2

Primary Job Duties & Responsibilities:

  • Under moderate supervision, provide office based telephonic medical case management with emphasis on early intervention, return to work planning, coordination of quality medical care on claims involving disability and medical treatment as well as in-house medical reviews as applicable to claim handling laws and regulations.

  • Responsible for helping to ensure injured parties receive appropriate treatment directly related to the compensable injury or assist claim handlers in managing medical treatment to an appropriate resolution.

  • This job does not manage others.

  • This job works under Moderate Supervision: Incumbent performs standard and routine assignments independently to conclusion; unusual problems which may require exceptions to procedures or processes are referred to the supervisor.

  • As part of the hiring process, this position requires the completion of an online pre-employment assessment.

  • Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration

Job Opening ID:

22663BR

Environmental/Work Schedules/Other:

Travel (Occasionally)

Equal Employment Opportunity Statement:

Travelers is an equal opportunity employer.

Job Specific & Technical Skills & Competencies:

  • Familiarity with URAC standards Analytical Thinking: Identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making.

  • Communication: Expresses, summarizes and records thoughts clearly and concisely orally and in writing by applying proper content, format, sentence structure, grammar, language and terminology. Ability to effectively present file resolution to internal and/or external stakeholders.

  • Negotiation: Intermediate ability to understand alternatives, influence stakeholders and reach a fair agreement through discussion and compromise.

  • General Insurance Contract Knowledge: Ability to understand policies and contracts, as they apply to policy conditions. Principles of Investigation: Intermediate investigative skills. Follows a logical sequence of inquiry with a goal of securing information about the work accident, resulting injury, anticipated treatment, job duties and any material factors that may impact recovery and return to work.

  • Value Determination: Basic ability to determine liability and assigns a dollar value based on damages claimed and estimates, sets and readjusts reserves.

  • Legal Knowledge: Basic knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry.

  • Medical knowledge: Thorough knowledge of the nature and extent of injuries, periods of disability, and treatment needed.

  • WC Technical: intermediate ability to demonstrate understanding of WC Products and ability to apply available resources and technology to manage treatment plans and assist with claim resolution. Demonstrate a clear understanding and ability to work within jurisdictional parameters within their assigned state.

  • Customer Service: Advanced ability to build and maintain productive relationships with our insureds and deliver results with optimal outcomes.

  • Teamwork: Advanced ability to work together in situations when actions are interdependent and a team is mutually responsible to produce a result.

  • Planning & Organizing: Advanced ability to establish a plan/course of action and contingencies for self or others to meet current or future goals.

Job Category:

Claim

Marketing Description:

If passion, reliability, and dedication are part of your DNA, this is the job for you!

  • Passion: You are passionate about helping others and maintain a sense of urgency for our customers when they reach out for assistance.

  • Reliability: You combine understanding with medical and technical skills to provide service our customers know they can count on.

  • Dedication: Your dedication is clearly demonstrated throughout each phase of the workers’ compensation claims process.

If you are looking for a job that offers the same opportunity to make a difference without the demands of working nights, weekends or holidays, you’ll want to explore your next move with us!

Job Summary:

** Successful Candidate can be located in Charlotte, NC or Richmond, Va.

  • Under moderate supervision, provide office based telephonic medical case management with emphasis on early intervention, return to work planning, coordination of quality medical care on claims involving disability and medical treatment as well as in-house medical reviews as applicable to claim handling laws and regulations.

  • Responsible for helping to ensure injured parties receive appropriate treatment directly related to the compensable injury or assist claim handlers in managing medical treatment to an appropriate resolution.

  • This job does not manage others.

  • This job works under Moderate Supervision: Incumbent performs standard and routine assignments independently to conclusion; unusual problems which may require exceptions to procedures or processes are referred to the supervisor.

  • As part of the hiring process, this position requires the completion of an online pre-employment assessment.

  • Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration.

Position Type:

Experienced/Professional

Preferred Qualifications:

Bilingual candidates are encouraged to apply

RN preferred

Education, Work Experience & Knowledge:

Disability case management experience preferred. Prior clinical experience preferred.

Physical Requirements:

Operates standard office equipment (Continuously) Sitting (can stand at will) (Continuously) Use of Keyboards, Sporadic 10-Key (Continuously) Driving (Occasionally)

Minimum Qualifications:

Registered Nurse; Licensed Practical Nurse or Licensed Vocational Nurse required.

Company Information:

Solid reputation, passionate people and endless opportunities. That's Travelers!

Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference.

Licensing or Certificates:

Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Clinical Research Counselor (CRC), or Certified Rehab Registered Nurse (CRRN) preferred.

Primary Location:

Charlotte - North Carolina - United States

Secondary Location:

Richmond - Virginia - United States

We are committed to valuing the diversity that exists among our workforce, our business partners, our customers and our communities. With respect to our workforce, we are committed to not only increasing diversity in our hiring at all levels but also fostering an inclusive environment where all employees, regardless of race, color, religion, gender, gender identity, age, national origin, disability, veteran status, marital status, sexual orientation, genetic information or any other status or condition protected by law, can develop and thrive.

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