Cna
SpecialtyNurseCaseManager
Neural analysis suggests this role is
optimal for Mid candidates.
“Specialty Nurse Case Manager at Cna. Skills: case management, disability management, medical assessment, provider collaboration. Assess disability status. Make recommendations”
Industry & Context.
Organizational skills; Analytical skills
What They're Looking For.
Must Have
RN, BSN preferred, Eligible to sit for national case management certifications, minimum five years diverse clinical background, two or more years disability management experience preferred
Nice to Have
BSN preferred, two or more years disability management experience preferred
What You'll Do.
Assess disability status
Identify appropriate resources
Gather medical evidence
Coordinate medical evidence
Evaluate functionality
Assess restrictions and limitations
Assign length of disability
Consult on case management issues
Apply case management interventions
Collaborate with providers
Ensure appropriate treatment
Facilitate job modifications
Educate involved parties
Refer to medical expertise
Document according to requirements
How You'll Work.
Team & Collaboration
Collaboration with healthcare providers; Collaboration with employers; Collaboration with claimants; Collaboration with claims staff; Interaction with internal and external business partners
Communication Scope
Excellent verbal skills; Excellent written skills; Excellent presentation skills; Ability to convey technical issues clearly; Ability to convey technical issues concisely; Ability to convey technical issues effectively; Interpersonal skills
Full Job Description
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. Nurse Case Manager in a specialty area including but not limited to disability and psychiatry case management. Makes assessments and determinations applying various case and disability management principles within area of specialty. Ensures expeditious and effective claims decisions through collaboration with healthcare providers, employers, claimants and claims staff. **JOB DESCRIPTION:** **Essential Duties & Responsibilities** Performs a combination of duties in accordance with departmental guidelines: * Assesses disability status, makes recommendations and identifies appropriate resources. * Accountable for gathering and coordinating medical evidence for evaluation of functionality and makes assessments on restrictions and limitations and assigns length of disability. * Consults on case management issues in area of specialty and applies effective case management interventions. * Collaborates with medical and other providers to ensure appropriate treatment and return to work. * Facilitates job modifications when appropriate and educates involved parties regarding claims process and functionality as it relates to job requirements while remaining externally focused. * Addresses causality and refers to appropriate medical expertise. * Documents according to jurisdictional, departmental and accreditation requirements. **Reporting Relationship** Typically Lead Specialty Nurse Case Manager **Skills, Knowledge and Abilities** * Strong knowledge of case management, specialty area, medical terminology and conditions, insurance industry as well as company policies and procedures. * Ability to exercise professional judgment and assume responsibility for decisions which have an impact on peopl
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