Nurse Case ManagerPosted: November 16, 2009
For more than 125 years, Chubb & Son, a division of Federal Insurance Company has been delivering exceptional property and casualty insurance products and services to businesses and individuals around the world. Today, we are the 11th largest property and casualty insurer in the United States and have a worldwide network of some 120 offices in 28 countries staffed by 10,600 employees. The Chubb Corporation reported $50.6 billion in assets and $14.1 billion in revenues in 2007. According to Fortune magazine, Chubb is the 176th largest U.S.-based corporation. The magazine also includes Chubb in its list of • Americas Most Admired Companies.? Forbes listed Chubb as one of Americas 400 Best Big Companies. Chubb has maintained its reputation and financial stability with underwriting expertise, unparalleled customer service, unique industry-specific specialization and a deep respect for all of our employees. The Chubb Group of Insurance Companies is currently seeking several Nurse Case Managers to join their New York City team. The Nurse Case Manager will be expected to evaluate and expedite appropriate, cost effective medical treatment of injured employees with the goal of optimum medical improvement, and early return to work. Major Duties/Responsibilities of Position: -Receives new assignments from adjusters to evaluate need for case management intervention. -Reviews initial investigation report. -Calls injured employee for relevant information on injury, current medical treatment and to inform employee of Case Managers available assistance. -Calls physician for status of disability, treatment plan, and to inform the physician of Case Managers available assistance. -Calls employer to inform them of employees current work status, to discuss early return to work options, and to advise of Case Managers available assistance. -Completes preliminary report for adjuster. -Identifies appropriate disability duration timeframes. -Makes recommendations as to further activities and need for continued case management. -Proceeds as directed by adjuster. -Maintains contacts with employee, doctor, and employer to ensure timely and accurate information; -Develops plan of action to facilitate maximum medical recovery. Confers with adjuster, employee, and doctor to work within that plan, or to make necessary modifications; -Assists doctor and employee in locating ancillary medical services that may be needed (e.g. physiotherapy, x-rays, etc.). Recommends use of pre-determined PPO providers when appropriate. Seeks out alternative providers, as warranted; -Alerts adjuster to proposed medical care and possible alternative procedures. As directed by the adjuster, discuss alternatives with the treating physician; -Makes recommendation for the need for on site case management services based on severity and longevity of case. -Develops action plan for early return to work (RTW). Such a plan must consider not only full duty RTW, but also modified and light duty. Confers with employer, employee, doctor, and adjuster to execute the plan, and/or determine necessary modifications; -Updates the employer on work status of employee and verifies status of RTW possibilities. Updates employee of RTW options; -Thirty day follow up with injured employee and employer to ensure smooth return to work; IV. Assists Claims Department with identifying physicians to treat injured employees, Impartial Medical Examiners, and establishing or adding to Preferred Provider Organization. Establish a list of preferred physicians, OT/PT with addresses and telephone numbers. Required Knowledge & Skills: -Bachelor of Science in nursing preferred. Registered nurse certification will also be accepted. -CCM eligible. (Certified Case Manager) -CDMS (Certified Disability Management Specialist) and/or CRRN (Certified Rehabilitation Registered Nurse) may be considered, depending upon experience, training, and knowledge. -Minimum of three years experience in the medical management field required. -Excellent communication skills mandatory; this position will involve continuous personal, telephone, and written contact, and appropriate interpersonal skills are critical. -Must have knowledge of traumatic injuries, the resultant disabilities and medical complications, and the local Workers Compensation Act. -Should have working knowledge of the medical providers in the assigned geographical area. -Ability to work independently, and yet dependably meet deadlines. -Time management and personal organization skills required. Chubb prides itself on the ability to provide all employees with an extraordinary work environment which promotes teamwork, diversity and incentives for those who exceed expectations. Chubb has been recognized as one of the top 50 companies for diversity by DiversityInc magazine, one of Americas most admired companies by Forbes, and one of the top 100 companies to work for by Fortune. Chubbs compensation and benefit plans work together to create a Total Rewards Program for our employees that is among the best in our industry. As a global organization, we work hard to achieve our goal of providing flexible and competitive compensation and benefits packages in each local market in which we operate. Our goal is to exceed average market practices for our performers. For more information about Chubb and our benefits, visit our website at www.chubb.com. All interested applicants must apply online at www.chubb.apply2jobs.com Reference Requisition number 7123. http://www.chubb.apply2jobs.com/index.cfm• fuseaction=mExternal.showJob&RID=7123tPage=2 Please refer to job code 7123 when responding to this ad.
|
