Clinical Case Manager Jobs

We are seeking a candidate who will take on the following responsibilities:

• Offer consultation on medical, behavioral health, and accommodation claims within the scope of licensure and clinical expertise.
• Act as a liaison to client's Employee Assistance Program (EAP) to promote coordination of care and referrals to high-quality behavioral health providers.
• Assist employee-clients in making informed choices through patient advocacy, adhering to Medical Disability Guidelines (MDG) and employer-based benefit plans, and/or laws regulating disability management.
• Drive the return-to-work process from the beginning of the case to closure.
• Provide documentation, feedback, and reports to a diverse range of occupational populations with a focus on returning medically able individuals to productive endeavors.
• Demonstrate a professional and corporate presence and exhibit excellent problem-solving skills when questioned on case management plans.
• Facilitate continuous communication and consensus among all parties required in case management by acting as a liaison.
• Serve as the main point of contact for managing medical disability and accommodation cases within the team.
• Present cases to a panel of physicians in weekly meetings and provide dynamic communication, critical thinking, negotiation skills, holistic case conceptualization, and proactive case management planning.
• Manage caseload efficiently, prioritize tasks, provide timely intervention, and maintain sensitivity to confidential records.

To qualify for this role, you should possess:

• Documentation showing an appropriate degree and licensure.
• A minimum of 2 years as a Clinical Case Manager.
• A registered nurse, nurse practitioner, or comparable license with experience and working knowledge of disability, client processes, and case management.
• A minimum of 5 years of medical advisory experience in occupational health, worker compensation, disability, health case management, or utilization review.
• A commitment to providing high-quality customer service, using diplomacy, patient advocacy, and professional competency.
• An interest in working with a dedicated group of like-minded clinicians and leaders who prioritize the health and well-being of our customers and employees.