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.
CNA is seeking a Nurse Case Manager specializing in areas such as disability and medical case management. This role involves conducting comprehensive assessments and making informed determinations using established case and disability management principles within the designated specialty. The Nurse Case Manager plays a key role in facilitating timely and effective claims decisions by collaborating closely with healthcare providers, employers, injured workers, and claims professionals.
This position enjoys a flexible, hybrid work schedule and will be based out of our Brea, CA, Downers Grove, IL, Plano, TX or Lake Mary, FL office.
JOB DESCRIPTION:
Essential Duties & Responsibilities
Performs a combination of duties in accordance with departmental guidelines:
1. Assesses disability status, makes recommendations, and identifies appropriate resources.
2. Accountable for gathering and coordinating medical evidence for evaluation of functionality and makes assessments on restrictions and limitations and assigns length of disability.
3. Consults on case management issues in area of specialty and applies effective case management interventions.
4. Collaborates with medical and other providers to ensure appropriate treatment and return to work.
5.Facilitates job modifications when appropriateand educates involved parties regarding claims process and functionality as it relates to job requirements.
6. Documents according to jurisdictional, departmental andor accreditation requirements.
Reporting Relationship
Typically, Manager of Case Management
Skills, Knowledge, and Abilities
1. Strong knowledge of case management, specialty area, medical terminology and conditions, insurance industry as well as company policies and procedures.
2. Ability to exercise professional judgment and assume responsibility for decisions which have an impact on people, costs, and quality of service.
3. Excellent verbal, written, and presentation skills with the ability to convey technical issues in a clear, concise, and effective manner.
4. Strong interpersonal skills with the ability to effectively interact with internal and external business partners.
5. Detail oriented with strong organizational and analytical skills as well as the ability to prioritize and coordinate multiple tasks.
6. Knowledge of Microsoft Office Suite as well as other business-related software.
7. Ability to work independently.
Education and Experience
1. RN with BSN preferred. Eligible to sit for national case management certifications.
2. LNC or LCP designation is a plus but is not required
3. Typically a minimum five years diverse clinical background, with two or more years disability management experience preferred
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In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia,California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $54,000 to $103,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees – and their family members – achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA’s benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contactleaveadministration@cna.com.
