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At CIGNA, we believe good health benefits everyone. That’s why we’ve made it our mission to improve the health, well-being and security of every individual we serve. And while we can't fix the entire health system overnight we're doing everything in our power to make it better. Because when we do we help people (and the companies they work for) perform better and lead more fulfilling lives. That’s good for everyone. See for yourself when you view our PLEDGE.
Workers Compensation Field Case Manager
Workers Compensation Field Case Manager – Intracorp (Mobile, AL)
Part Time Position
Take your nursing skills in a new direction as we continue to grow with Intracorp….
About Intracorp:
Philadelphia-based Intracorp, a subsidiary of CIGNA Corporation, helps employers maximize their workers' compensation and disability benefits programs to enhance the well-being and productivity of their workforce. Intracorp also offers pharmacy benefit management, utilization management, return-to-work programs, ergonomic consulting, medical bill review, provider network access, and information management services. For more information, visit the Web site at: www.intracorp.com/.
ROLE SUMMARY
Please note: This is a part time position for 32 hours per week
If you're interested in a new direction for your nursing career then you might want to look into a Case Management Nursing opportunity with Intracorp! Case Management Nursing focuses mainly on planning and managing all aspects of patient care and services for their assigned cases.
A career in case management nursing will be very suitable for those who are looking for a challenging and fulfilling career in helping patients get cost effective and the best possible care.
The career outlook for a case management nurse is excellent, according to a report by the Bureau of Labor Statistics (www.bls.gov), with growth expected to be much faster than the average position through 2014.
You will be strongly encouraged to pursue case management certification. CCM, CDMS, COHN, CRRN, CRC.
The Workers Compensation Case Manager medically manages and/or assesses cases or tasks to facilitate return of ill/injured persons to productive lifestyles in an efficient, cost effective and timely manner. Analyzes and evaluates clinical and return-to work information so that an assessment with recommendations and goals can be established to optimize case outcome. Case management services are performed through field based (FCM) services.
A day in the life of a Workers Compensation Field Case Manager may include:
Assesses the medical, vocational, financial, and behavioral needs of referred, ill/injured persons via combination of face-to-face, telephonic and written correspondence with a variety of parties, within the scope of the license/certification. Case management assessment and evaluation - – gathering relevant medical and vocational information and data; interpreting same to develop a plan; requires interaction with the ill/injured person and specific goal-setting. Coordination of services based upon case-specific local, state and federal regulations as well as policy coverage pertinent to the case
Proposes and implements a cost effective vocational/medical case management plan to the referral source in the form of an initial report produced via personal computer. Modifies plan as needed based on case progress. Requires ability to negotiate with multiple parties.
Coordinates and implements the approved plan to successful completion and reports on the status via a progress/re-assessment report produced on the personal computer. Follow-up and evaluation of person’s success relative to case plan; re-assessing case plan as necessary to ensure successful outcomes
Demonstrates appropriate outcomes measured during the life of a case against long and short-term goals; outcomes are summarized at the time of case closure the aim to maximize the person’s outcomes and maximize medical status and return to work status. The aim is to return the person, as close as possible, to his/her pre-illness/pre-injury status.
Maintains accurate documentation of records on each case including assessment, goals, barriers, billing, savings and demographic data.
*Caseloads vary depending on client need and case complexity and method of delivery (field based vs. telephonic). Caseload size is adjusted based upon other duties. Average caseload size for a FT FCM is 25-30; for a FT TCM, 70-90.
Compensation
CIGNA offers a competitive compensation and comprehensive benefits package including health and wellness benefits, 401k plan, and work/life balance programs, as well as opportunities for career growth and development.
Requirements
Ideal candidate will offer:
Education:
Bachelor's degree or higher in a health-related field (nursing) preferred along with appropriate licensure where required, i.e., R.N. license for nurses.
Or
Certification as a case manager
Or
RN license (Associates or Diploma degree nurse) with three (3) years full-time clinical experience.
Certification:
Certification is recommended and professionally encouraged. Approved certifications included Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Certified Occupational Health Nurse (COHN), Certified Rehabilitation Registered Nurse (CRRN) or Certified Rehabilitation Counselor (CRC). Certification as Certified Legal Nurse Consultant (CLNC), Certified Life Care Planner (CLCP) and Certified Nurse Life Care Planner (CNLCP) will also be considered as long as the individual meets the basic URAC education and experience requirements for case management staff.
Knowledge and Experience:
Staff must practice within the scope of their license (i.e., RN license, counselor license, etc.) and any code of ethics associated with any certifications; staff must maintain current licensure/certification
Registered nurses must have minimum of three nursing experience in the one of following areas: ICU/CCU, trauma, spinal cord injuries, medical/surgical, orthopedics, neurology, or rehab.
CIGNA offers a competitive compensation and comprehensive benefits package including health and wellness benefits, 401k plan, and work/life balance programs, as well as opportunities for career growth and development.
If you are interested in taking your career in a whole new direction or just learning more about our full-time and part-time career opportunities in nursing please apply online at www.cigna.com and enter Job ID 65577 or email [Click Here to Email Your Resumé].
Location: Mobile, AL
We are an equal opportunity employer. “CIGNA" and the “Tree of Life" logo are registered service marks of CIGNA Intellectual Property, Inc., licensed for use by CIGNA Corporation and its operating subsidiaries. Most employees are employed by such operating subsidiaries and not by CIGNA
CIGNA offers a competitive compensation and comprehensive benefits package including health and wellness benefits, 401k plan, and work/life balance programs, as well as opportunities for career growth and development.
At CIGNA, we are committed to providing our customers with employee benefits, expertise and services that improve the health, well-being and productivity of their employees. CIGNA’s people are the key to our success in a changing and increasingly competitive marketplace. The collective skills, behaviors and work experiences of all CIGNA employees enable us to make a real difference in the lives of our members. We seek the most talented and creative minds in the industry to develop innovative solutions our customers value and consumers expect.
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