Nurse Case Manager I

The Mission of The MEMIC Group is to make workers' comp work better with compassion, trusted partnerships, and relentless commitment to workforce safety. The secret to the success and longevity of great organizations is their shared vision and strong values. At MEMIC our values are to be conscientious, to be an expert, to be a partner, to be curious and to be transparent.
The Nurse Case Manager (NCM) utilizes their expertise to resolve workers' compensation claims by working with the injured worker to provide proper, efficient, timely and cost- effective healthcare services. The NCM does this through the processes of evaluation, assessment, planning, and implementation with the ultimate goal leading to a medically rehabilitated individual ready to return to an optimal level of work and functioning.
Responsibilities:

• Conducts a comprehensive assessment of the injured worker physical and/or bio- psychosocial needs in collaboration with the employer and medical provider to coordinate the medical care and return to work plan throughout the life of the claim.
• Acts as a liaison between the injured worker, the medical provider, the employer as to medical rehabilitation issues and return to work.
• Develops strategies to maximize medical outcomes in a cost effective manner.
• Coordinates with medical providers to ensure the injured employee is actively participating in a viable treatment.
• Evaluates medical treatment to assess necessity and reasonableness based upon jurisdictional guidelines.
• Works in collaboration with claim professionals as a medical resource to promote optimal outcomes.
• Engages specialty resources as needed to achieve optimal resolution.

Requirements:

• Bachelor's Degree in Nursing preferred.
• Registered nurse with current, valid state licensure required.
• Minimum of two (2) years direct clinical care to adult consumers required. industrial rehabilitation and/or occupational nursing preferred.
• Excellent communication (written and verbal), analytical and organizational skills are essential.
• Ability to identify and resolve problems in a timely manner, while able to gather and analyze information.
• Must have proficient computer skills, including Microsoft Office programs.
• Ability to set priorities and work independently is essential.
• Ability to effectively manage caseload within department expectations.
• Ability to work in a fast-paced, team-based corporate environment.
• Ability to multi-task, manage assigned caseload, and operate with a sense of urgency.

Our comprehensive benefits package includes all traditional offerings such as:

• Health Insurance options, Dental Insurance options and Vision Insurance
• Employee Life Insurance/AD&D and Dependent Life Insurance options
• Short-term & Long-term Disability
• Health Savings Account with potential employer match
• Flexible Medical and Dependent Care Account
• Accident Insurance
• Critical Illness Insurance
• Employee Assistance Program
• Legal/Identify Theft Insurance options
• Long Term Care Insurance
• Pet Insurance
• 401 (k) Retirement Plan with match up to 5%, plus profit sharing & discretionary contributions (subject to vesting)
• 5 weeks of Paid Time Off (PTO)
• 7 paid holidays

We also offer other benefits to help foster a healthy, balance lifestyle such as:

• Flextime schedules
• Paid Parental Leave
• Student loan paydown and refinancing assistance
• Educational assistance for job related courses, seminars, certifications or degrees
• One paid day every year to volunteer for your non-profit of choice
• On-site fitness center (Maine & Virginia) or fitness reimbursement
• Subsidized parking
• Sit-Stand desks & daily stretch breaks

MEMIC is committed to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religious creed, national origin, ancestry, age, disability, genetics, gender identity, veteran's status, sexual orientation, or any other characteristic protected by law. MEMIC is an equal opportunity employer encouraging diversity in the workplace.