Overview Health Care Professional Case Manager role at Pepco Holdings
We are seeking a qualified healthcare professional to join our team.
Primary Purpose Directs and coordinates appropriate, timely, and cost effective delivery of health care through the case management process. This includes disability, urgent and emergency care, FFD issues, immunizations, work limitations, transitional return to work plans, accommodations and part time work for worker's compensation and non-worker's compensation illness and injury. Responsible for after hour coordination of emergency and urgent care services delivery.
Primary Duties Identifies cases involving high frequency and high-risk injuries/illnesses. Performs ongoing evaluation and treatment plans for all identified cases.
Determines essential job functions and identifies and implements necessary limitations, accommodations and part-time work for high frequency/high risk cases in which such an intervention could reduce the length of disability.
Identifies cases requiring Physician level review for case management, coordinates the review process, and implements recommendations.
Determines service needs, selects appropriate network service providers, evaluates provider services, and makes recommendations for retention or removal from the network.
Establishes and maintains a confidential record keeping system for all cases involved in the case management process to support the process and all decisions made as part of the process.
Coordinates with benefits, legal, employee relations, safety and industrial hygiene supervisors and other company areas for case management factors, concepts and concerns.
Job Scope Reports to OHS Lead Clinician.
Responsible to be on call 24 hours a day/seven days a week.
Minimum Qualifications Registered Nurse, Nurse Practitioner, Physician Assistant (Licensed in State where service provided).
2 to 5 years of occupational health nursing experience or related field.
Knowledge and understanding of the provision of case management for workers compensation, disability, limited duty, safety, Industrial Hygiene, healthcare plans, regulatory medical requirements and external healthcare resources.
Ability to work in and contribute to a team environment.
BLS (Basic Life Support) Certification
Experience with Microsoft office applications
Preferred Qualifications Registered Nurse or nurse practitioner with at least 7 years of experience preference ER. ICU, CCU experience.
BSN, CCM, COHN, MSN, MPH or Master's in related field.
Evaluation, assessment, solving, and negotiating skills.
Benefits Annual salary will vary based on a candidate’s skills, qualifications, experience, and other factors: $92,800.00/Yr. – $127,600.00/Yr.
Annual Bonus for eligible positions: 15%
401(k) match and annual company contribution
Medical, dental and vision insurance
Life and disability insurance
Generous paid time off options, including vacation, sick time, floating and fixed holidays, maternity leave and bonding/primary caregiver leave or parental leave
Employee Assistance Program and resources for mental and emotional support
Wellbeing programs such as tuition reimbursement, adoption and surrogacy assistance and fitness reimbursement
Referral bonus program
And much more
Seniority level Mid-Senior level
Employment type Part-time
Job function Other
Industries Utilities
Note: Exelon-sponsored compensation and benefit programs may vary or not apply based on length of service, job grade, job classification or represented status. Eligibility will be determined by the written plan or program documents.