Nurse Case Manager I

Summary

Join MEMIC as a Nurse Case Manager (NCM) and utilize your expertise to resolve workers' compensation claims. You will work with injured workers, providing efficient and cost-effective healthcare services. Responsibilities include conducting comprehensive assessments, acting as a liaison between stakeholders, developing strategies to maximize medical outcomes, and collaborating with medical providers and claim professionals. The ideal candidate will possess a Bachelor's Degree in Nursing, a current RN license, and at least two years of direct clinical care experience. Excellent communication, analytical, and organizational skills are essential. MEMIC offers a comprehensive benefits package including health insurance options, retirement plan, paid time off, and various other perks to foster a healthy work-life balance.

Requirements

• Registered nurse with current, valid state licensure required
• Minimum of two (2) years direct clinical care to adult consumers required
• Excellent communication (written and verbal), analytical and organizational skills are essential
• Ability to identify and resolve problems in a timely manner, while able to gather and analyze information
• Must have proficient computer skills, including Microsoft Office programs
• Ability to set priorities and work independently is essential
• Ability to effectively manage caseload within department expectations
• Ability to work in a fast-paced, team-based corporate environment
• Ability to multi-task, manage assigned caseload, and operate with a sense of urgency

Responsibilities

• Conducts a comprehensive assessment of the injured worker physical and/or bio- psychosocial needs in collaboration with the employer and medical provider to coordinate the medical care and return to work plan throughout the life of the claim
• Acts as a liaison between the injured worker, the medical provider, the employer as to medical rehabilitation issues and return to work
• Develops strategies to maximize medical outcomes in a cost effective manner
• Coordinates with medical providers to ensure the injured employee is actively participating in a viable treatment
• Evaluates medical treatment to assess necessity and reasonableness based upon jurisdictional guidelines
• Works in collaboration with claim professionals as a medical resource to promote optimal outcomes
• Engages specialty resources as needed to achieve optimal resolution

Preferred Qualifications

• Bachelor’s Degree in Nursing preferred
• Industrial rehabilitation and/or occupational nursing preferred

Benefits

• Health Insurance options, Dental Insurance options and Vision Insurance
• Employee Life Insurance/AD&D and Dependent Life Insurance options
• Short-term & Long-term Disability
• Health Savings Account with potential employer match
• Flexible Medical and Dependent Care Account
• Accident Insurance
• Critical Illness Insurance
• Employee Assistance Program
• Legal/Identify Theft Insurance options
• Long Term Care Insurance
• Pet Insurance
• 401 (k) Retirement Plan with match up to 5%, plus profit sharing & discretionary contributions (subject to vesting)
• 5 weeks of Paid Time Off (PTO)
• 11 paid holidays
• Flextime schedules
• Paid Parental Leave
• Student loan paydown and refinancing assistance
• Educational assistance for job related courses, seminars, certifications or degrees
• One paid day every year to volunteer for your non-profit of choice
• On-site fitness center (Maine) or fitness reimbursement
• Subsidized parking
• Sit-Stand desks & daily stretch breaks