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• POSTED: February 26, 2010
• Case Manager, RN
• Location: Charlotte, NC
• Job Description:
• As a member of our managed care team, provide case management services to non-catastrophic worker's compensation claims. Utilize your nursing experience to provide case management service telephonically to injured employees of our clients. You will use your knowledge of workers compensation and medical treatment experience to establish short and long term goals to achieve optimal medical outcomes with minimal lost time from work in accordance with legal statutes policy provisions and company guidelines.
• Essential Functions:
  • Provide case management services to non-catastrophic worker's compensation cases.
  • Apply the case management process of assessment planning implementation coordination monitoring and evaluation.
  • Serve as an advocate for the injured worker within the parameters of the applicable jurisdiction.
  • Develop and implement action plans for non-catastrophic worker's compensation cases.
  • Deliver quality services by adherence to corporate policies and procedures best practices client special handling instructions and applicable regulatory requirements.
  • Utilize highly developed telephonic skills to successfully conduct services as appropriate.
  • Follow referral criteria for involvement of field case management services as appropriate.
  • Adhere to assignment criteria for either task or full case management as appropriate.
  • Develop relationships and knowledge of community resources to facilitate cooperation and involvement of parties as appropriate.
  • Benchmark medical treatment plans to evidence based treatment guidelines.
  • Develop case action plans to facilitate non-catastrophic case resolution. Provide a high degree of customer service to clients including participation in claims reviews stewardship meetings and similar account-specific meetings.
• Qualifications:
  • Bachelors degree in Nursing, Healthcare and or Occupational Medicine Active Registered Nurse (RN) license(s) for assigned jurisdictions (NC and SC) and state specific registrations or certifications as required by various Worker's Compensation jurisdictions required.
  • Certified Case Manager (CCM), Certified Disability Management Specialists (CDMS), Certified Rehabilitation Registered Nurse (CRRN), and/or Certified Occupational Health Nurse (COHN) professional designation(s) preferred.
  • Minimum of three years experience in a clinical facility in orthopedics, neurology, critical care, emergency trauma, general surgery, rehabilitation, physical medicine and/or occupational health.
  • Demonstrated knowledge of current medical treatments and transitional work practices in worker's compensation cases.
  • Proven technical proficiency through timely consistent execution of best case management practices.
  • Computer literacy in email systems, MS Office Product Suite (i.e. Word Excel), and internet queries for research.
• As a leader in the property and casualty insurance industry with multiple locations, our clients choose PMA Capital Corporation because we understand that excellent service begins with our employees. Our working relationships with clients are marked by professionalism, execution and accountability and our company culture is centered on teamwork. This combination has earned an AM Best A- rating (Excellent) and created a supportive work environment that encourages personal and professional growth. We offer a very competitive compensation package including two retirement contribution savings plans: a 401(k) with dollar for dollar match on the first 5% of salary and a company funded retirement contribution plan; tuition reimbursement and much more! Qualified and interested applicants should apply online at www.pmagroup.com/careerlist.htm or contact edward_peterson@pmagroup.com for additional information.
• To Apply
• Visit www.pmagroup.com/careerlist.htm for more information about this job listing and to apply online.
• Contact: edward_peterson@pmagroup.com

• POSTED: February 22, 2010
• CASE MANAGER
• Job Type: Full-time
• Job Description:
• This full time QP position in the targeted Case Management Department and is responsible for developing person centered plans and managing individual cases.
• Employment Qualifications:
• Qualifications include 4- year degree in Human Services or related area and Case Management experience with DD and CAP-MR/DD populations. Knowledge of Mecklenburg systems preferred. Must have a valid driver’s license and a clear criminal background.
• Other Information:
• Benefits and 401
• To Apply:
• Visit www.rssweb.org

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