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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 seeks to offer a comprehensive and competitive benefits package to our employees that helps them — and their family members — achieve their physical, financial, emotional and social wellbeing goals.
Job Title
Nurse Case Manager – Disability and Psychiatry
Job Description
Nurse Case Manager in a specialty area including but not limited to disability and psychiatry case management. Makes assessments and determinations applying various case and disability management principles within the area of specialty. Ensures expeditious and effective claims decisions through collaboration with healthcare providers, employers, claimants and claims staff.
Essential Duties & Responsibilities
Performs a combination of duties in accordance with departmental guidelines.
Assesses disability status, makes recommendations and identifies appropriate resources.
Gather and coordinate medical evidence for evaluation of functionality and assess restrictions, limitations and assign length of disability.
Consult on case management issues in area of specialty and apply effective case management interventions.
Collaborate with medical and other providers to ensure appropriate treatment and return to work.
Facilitate job modifications when appropriate and educate involved parties regarding claims process and functionality as it relates to job requirements while remaining externally focused.
Address causality and refer to appropriate medical expertise.
Document according to jurisdictional, departmental and accreditation requirements.
Reporting Relationship
Typically Lead Specialty Nurse Case Manager.
Skills, Knowledge and Abilities
Strong knowledge of case management, specialty area, medical terminology and conditions, insurance industry and company policies and procedures.
Ability to exercise professional judgment and assume responsibility for decisions that impact people, costs and quality of service.
Excellent verbal, written, and presentation skills with ability to convey technical issues clearly, concisely and effectively.
Strong interpersonal skills with ability to effectively interact with internal and external business partners.
Detail oriented with strong organizational and analytical skills and ability to prioritize and coordinate multiple tasks.
Knowledge of Microsoft Office Suite and other business related software.
Ability to work independently.
Education and Experience
RN with BSN preferred. Eligible to sit for national case management certifications.
Typically a minimum of five years diverse clinical background, with at least two years disability management experience preferred.
Accommodations
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact leaveadministration@cna.com.