Medical & Disability Nurse Case Manager

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<b style="display:block;margin-bottom:9px;"></b><br><b style="display:block;margin-bottom:9px;font-weight:900;">Description </b><div style="font-family: 'Arial', sans-serif; font-size: 12pt;"><p style="margin: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><strong>Job Description</strong></span></p><p style="margin: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;">If you're a registered nurse looking for a new opportunity to work in a fast-paced, professional environment where your talent contributes to our competitive edge, Liberty Mutual Insurance has the opportunity for you. Under general technical direction, responsible for medically managing assigned caseload and by applying clinical expertise ensure individuals receive appropriate healthcare in order to return to work and normal activity in a timely and cost effective manner. Caseload may include catastrophic/complex medical/disability cases, lost time, and/or medical only claims. Also act as a clinical resource for field claim partners.</span></p><p style="margin: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><strong> </strong></span></p><p><strong>This is a remote position, however, you will be required to report into the office twice a month per business requirements if you reside within 50 miles of the following offices: Lake Oswego, OR, Chandler, AZ, Hoffman Estates, IL, Suwanee, GA, Indianapolis, IN, Plano, TX, Boston, MA, Westborough, MA, Las Vegas, NV, and Weatogue, CT<em>. </em>Please note this policy is subject to change.</strong></p><p style="margin: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><strong><br />Responsibilities:</strong></span></p><ul style="margin-top: 0in; margin-bottom: 0in;" type="disc"><li style="margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;">Follows Liberty Mutual's established standards and protocols to effectively manage assigned caseload of medical/disability cases and by applying clinical expertise assist to achieve optimal outcome and to facilitate claim resolution and disposition.</span></li><li style="margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;">Effectively communicates with injured employees, medical professionals, field claims staff, attorneys, and others to obtain information, and to negotiate medical treatment and return to work plans using critical thinking skills, clinical expertise and other resources as needed to achieve an optimal case outcome.</span></li><li style="margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;">Utilizes the Nursing Process (assessment, diagnosis, planning, intervention and evaluation) to facilitate medical management to attain maximum medical improvement and return-to-work (RTW) per state jurisdictional requirements.</span></li><li style="margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;">Appropriately utilizes internal and external resources and referrals i.e., Utilization Review, Peer Review, Field Claims Specialists, Regional Medical Director Consults, and Vocational Rehabilitation to achieve best possible case outcome.</span></li><li style="margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;">Follows general technical direction from nurse manager, senior medical and disability case manager and/or CCMU staff to resolve highly complex medical and/or RTW issues and/or successfully manage catastrophic injuries.</span></li><li style="margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;">Documents all RN activities accurately, concisely and on a timely basis. This includes documenting the medical and disability case management strategies for claim resolution, based on clinical expertise. Adheres to confidentiality policy.</span></li><li style="margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;">Appropriately applies clinical expertise to claims and delivers services in an efficient and effective manner.</span></li><li style="margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;">Accurately and appropriately documents<span style="text-decoration: line-through;"> </span>time <span style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">tracking</span> for work performed. Achieves annual time <span style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">tracking</span> goal.</span></li><li style="margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;">Handles special projects as assigned.</span></li></ul></div><b style="display:block;margin-bottom:9px;margin-top:18px;">Qualifications</b><ul style="margin-top: 0in; margin-bottom: 0in;" type="disc"><li style="color: #222222; margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;">Ability to analyze and make sound nursing judgments and to accurately document activities.</span></li><li style="color: #222222; margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;">Strong communication skills in order to build relationships with injured employees, medical professionals, employers, field claims staff and others.</span></li><li style="color: #222222; margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;">Good negotiation skills to effectively establish target return to work dates and coordinate medical care.</span></li><li style="color: #222222; margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;">Knowledge of state, local and federal laws related to health care delivery preferred.</span></li><li style="color: #222222; margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;">Personal computer knowledge and proficiency in general computer applications such as Internet Explorer and Microsoft Office (including Word, Excel and Outlook).</span></li><li style="color: #222222; margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;">Degree from an accredited nursing school required (prefer Bachelor of Science in Nursing).</span></li><li style="color: #222222; margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;">Minimum of 3 to 5 years of clinical nursing experience; prefer previous orthopedic, emergency room, critical care, home care or rehab care experience.</span></li><li style="color: #222222; margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;">Previous medical case management experience a plus.</span></li><li style="color: #222222; margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;">Must also have current unrestricted registered nurse (R.N.) license in the state where the position is based and other assigned states as required by law.</span></li><li style="color: #222222; margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;">Must have additional professional certifications, such as CCM, COHN, CRRN, etc., where required by WC law.</span></li></ul><p style="margin: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;"> </span></p><b style="display:block;margin-bottom:9px;">About Us</b><p style="margin: 0px;"><strong><span style="font-size: 12.0pt; font-family: 'Arial',sans-serif; color: #595959;">Pay Philosophy:</span></strong><span style="font-size: 12.0pt; font-family: 'Arial',sans-serif; color: #595959;"> The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. </span></p><p style="margin: 0px;"><span style="font-size: 12.0pt; font-family: 'Arial',sans-serif; color: #595959;"> </span></p><p style="margin: 0px;"><span style="font-size: 12.0pt; font-family: 'Arial',sans-serif; color: #595959;">At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.</span></p><p style="margin: 0px;"><span style="font-size: 12.0pt; font-family: 'Arial',sans-serif; color: #595959;">  </span></p><p style="margin: 0px;"><span style="font-size: 12.0pt; font-family: 'Arial',sans-serif; color: #595959;">We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit:</span><span style="font-size: 12.0pt; font-family: 'Arial',sans-serif; color: #7f7f7f;"> </span><span style="font-size: 12.0pt; font-family: 'Arial',sans-serif;"><a href="https://lmi.co/Benefits" target="_blank" rel="noopener">https://LMI.co/Benefits</a>  <br />  <br /><span style="color: #595959;">Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.  <br />  <br /><strong>Fair Chance Notices </strong> </span></span></p><ul style="margin-top: 0in;"><li><span style="font-size: 12.0pt; font-family: 'Arial',sans-serif;"><a href="https://jobs.libertymutualgroup.com/wp-content/uploads/2024/02/ca-fair-chance-act.pdf" target="_blank" rel="noopener">California</a> </span></li></ul><ul style="margin-top: 0in;"><li><span style="font-size: 12.0pt; font-family: 'Arial',sans-serif;"><a href="https://bca.lacity.gov/Uploads/fciho/FCIHO-factsheet-2024-03-05.pdf" target="_blank" rel="noopener">Los Angeles Incorporated</a> </span></li></ul><ul style="margin-top: 0in;"><li><span style="font-size: 12.0pt; font-family: 'Arial',sans-serif;"><a href="https://jobs.libertymutualgroup.com/wp-content/uploads/2025/01/FCOE-Official-Notice-Eng-Final-8.30.2024.pdf" target="_blank" rel="noopener">Los Angeles Unincorporated</a> </span></li></ul><ul style="margin-top: 0in;"><li><span style="font-size: 12.0pt; font-family: 'Arial',sans-serif;"><a href="https://jobs.libertymutualgroup.com/wp-content/uploads/2024/02/pa-philadelphia-fair-chance-law.pdf" target="_blank" rel="noopener">Philadelphia</a> </span></li></ul><ul style="margin-top: 0in;"><li><span style="font-size: 12.0pt; font-family: 'Arial',sans-serif;"><a href="https://jobs.libertymutualgroup.com/wp-content/uploads/2024/02/ca-san-francisco-fair-chance.pdf" target="_blank" rel="noopener">San Francisco</a> </span></li></ul>

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