Job Area Postings for Current Case Manager Position: 

GEOGRAPHIC LOCATION 

Mechanicsburg/Lancaster, PA 

NOTE: If you are NOT ABLE to work from your home in the Mechanicsburg/Lancaster PA area, please do not apply to this position. This position requires some driving.

Job Title: Workers’ Compensation Nurse Case Manager (must be a Registered Nurse) – Field-Based 

Requirements: 

Must be an RN with at least two years of clinical nursing experience 

Responsibilities: 

•Coordinate medical care, recovery and return-to-work of injured workers

•This is a work-from-home position requiring daily car travel using personal vehicle(Mileage/travel expenses reimbursed.)

Benefits: Rehabilitation Nurse - Workers’ Compensation (Registered Nurse) 

•Full benefits package includes 401K

Must have at least 2 years of clinical nursing experience.

Must have a valid Pennsylvania RN license/certification.

Must live in or reasonably near the requested area.

Must have a valid Pennsylvania driver’s license.

SCOPE AND RESPONSIBILITIES

• Conduct intake interviews with injured/disabled, limited individual, head trauma and spinal- cord injured persons and their families.

• Coordinate medical/psychological care by developing, initiating, and instituting a rehabilitation plan for the disabled individual, which includes addressing safety issues. Periodically review all plans for effectiveness to assure that desired outcomes and goals are met.

• Case staffing with other relevant rehabilitation professionals in order to provide appropriate and adequate physical care for the injured individual as prescribed by the physician.

• Monitor care being provided and obtain independent medical opinions when indicated to obtain necessary medical clarification, and apprise involved parties of medical status and care being rendered.

• Facilitate case management activities leading to vocational readiness.

• Provide assistance for home modification, vehicle modifications, PT/OT services, medication regimen, procuring orthotic devices, prescribed healthcare equipment, and coordinating home healthcare services.

• Perform employer interviews with employer representatives to ascertain relevant job duties and essential functions of pre-injury jobs; may assist in job restructuring; determine the availability of alternate, modified, and light duty positions with pre-injury employers, as specified by the physician; conduct job analysis (when appropriate).

• Act as liaison, coordinating efforts with the injured individual, physicians, medical and psychological care providers, attorneys, employers and insurance professionals.

• Assist insurance professionals in determining and projecting future care, needs and expenses; provide pertinent information to assist life care plan specialists.

• Adhere to the policies and standards set forth by our URAC accreditation as well as jurisdictional legislative and regulatory requirements.

• May serve on the QI Committee to identify areas of improvement and future quality improvement initiatives.

• May attend meetings with various Hoover departments to coordinate case management efforts.

• Reports directly to a medical services supervisor.

EXPECTED PROFESSIONAL COMPETENCIES: 

•Analyze current health status of injured workers to determine nursing care needs

•Professional level of verbal and written communication skills

•Minimal computer competency

•Basic level of understanding of procedural and legislative rules and regulations

QUALIFICATIONS AND EXPERIENCE: 

-Current and unrestricted RN license in the state/jurisdiction for which the nurse is being hired

-Two years of direct clinical care experience

The following are not required; however, individuals possessing any of the following will received preference: 

-Certification as a case manager (CCM, CDMS, CRC)

-Bachelor’s Degree (or higher) in a health-related field and/or licensed or certified as a healthcare professional