WhitePlainsRecruiter Since 2001
the smart solution for White Plains jobs

Nurse Case Manager

Company: The Standard
Location: White Plains
Posted on: January 12, 2020

Job Description:

At The Standard, you’ll join a team focused on putting our customers first. Our continued success is driven by a high-performance culture. We’re looking for people who are collaborative, accountable, creative, agile and are driven by a passion for doing what’s right – across the company and in our local communities. We offer a caring culture where you can make a real difference, every day. Ready to reach your highest potential? Let’s work together. JOB PURPOSE Assess claimants’ medical conditions, diagnostics, procedures performed and ongoing treatment to determine functional capacity levels as well as the appropriateness of care.  Collaborate with treating physicians to promote suitable care plans directed toward return to work by communicating with claimants, treating and consulting physicians, employers and benefits personnel.  Assess medical record documentation for completeness. Coordinate claim prevention, intervention and return to work programs for employers. PRINCIPAL ACCOUNTABILITIES / ESSENTIAL FUNCTIONS Contribute to the company’s success through excellent customer service and meeting or exceeding performance objectives for the following major job functions: Evaluate medical history and treatment and test results during file reviews and consultations with division benefits staff.  Provide assessments of  claimants' functional capacity and their levels and expected durations of impairment.  Identify and resolve stated limitations inconsistent with medical documentation.  Assess medical records to determine if claim for disability is caused or contributed to by a limited or excluded medical condition. Assess adequacy and appropriateness of  treatment. Advocate on behalf of the claimant for appropriate services and treatment to attain maximum medical improvement and successful return to work.  Work in conjunction with vocational and benefits staff to assess claimants' psychosocial, environmental and financial status.  Communicate with claimants, their families, employers, medical treatment providers, rehabilitation counselors and other carriers such as workers’ compensation providers or HMO’s, to ensure understanding of and cooperation with the recommended treatment plans and the goal of returning to work. Provide claim prevention services by working with employers to evaluate their organizations' trends in disabilities. Coordinate site visits and assessments; advise on educational programs for employee groups; work in conjunction with vocational staff to recommend job site modifications and safety or procedural changes.  Collaborate with sales, underwriting, and vocational and benefits staff to recommend, develop and implement intervention and return to work programs and practices for employers. Develop and conduct medical education and training for division claims personnel. ESSENTIAL FUNCTION REQUIREMENTS Demonstrated skills :  Effective case management. Effective identification and resolution of problems.  Clear and persuasive expression of ideas in both written and oral communications.  Effective collaboration with peers and team members. Ability to :  Utilize computer software and hardware applications. Talk by telephone. Shift priorities to meet demands from various customer groups. Make decisions in the absence of specific direction. Facilitate group discussions. Achieve professional designation. Working knowledge of :  Assistive devices needed by people with disabilities. The Americans with Disabilities Act, family leave laws, Fair Claims Settlement Practices Act, and laws governing client confidentiality. QUALIFICATIONS Education :  BS or MS in a related field preferred Experience :  A minimum of 4 years hospital or clinical experience in relevant medical fields (e.g. cardiology, orthopedics, mental health) or utilization review or quality management, or the equivalent combination of education and/or relevant experience. Professional certification required :  Current Registered Nursing license, with a CCM or CPDM designation or ability to obtain such a designation within 2 years of hire. Is a job requirement Standard Insurance Company, The Standard Life Insurance Company of New York, Standard Retirement Services, Inc., StanCorp Equities, Inc. and StanCorp Investment Advisers, Inc., marketed as The Standard, are Affirmative Action/Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, religion, color, sex, national origin, gender, sexual orientation, age, disability, or veteran status or any other condition protected by federal, state or local law. The Standard offers a drug and alcohol free work environment where possession, manufacture, transfer, offer, use of or being impaired by an illegal substance while on Standard property, or in other cases which the company believes might affect operations, safety or reputation of the company is prohibited. The Standard requires a criminal background investigation, drug test, employment, education and licensing verification as a condition of employment. All employees of The Standard must be bondable.

Keywords: The Standard, White Plains , Nurse Case Manager, Other , White Plains, New York

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


Home Care RN, Per Diem
Description: OverviewLooking for a Registered Nurse, RN to coordinate and provide high quality multidisciplinary health services for patients in the assigned region consistent with Agency philosophy, policy, goals (more...)
Company: VNSNY
Location: Mount Vernon
Posted on: 01/24/2020

Teller
Description: Position Overview At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. As a Part (more...)
Company: PNC
Location: Hackensack
Posted on: 01/24/2020

Radiologic Technologist
Description: Job Description: At GoHealth Urgent Care, we place the needs of our patients first - by providing an effortless patient experience, a welcoming culture of care and seamless integration with market-leading (more...)
Company: GoHealth Urgent Care
Location: New Brunswick
Posted on: 01/24/2020


Grocery pros wanted: flexible schedule, great pay.
Description: Shipt is a membership-based marketplace that helps people get the things they need, like fresh produce and household essentials, from stores they trust. Help people save time and have fun while you're (more...)
Company: Shipt
Location: White Plains
Posted on: 01/24/2020

Executive Assistant
Description: Gelfand, Rennert Feldman, a top entertainment business management firm in White Plains, is--seeking an Administrative Assistant to join our team of dedicated professionals.----Responsibilities: ul (more...)
Company: Gelfand Rennert & Feldman
Location: White Plains
Posted on: 01/24/2020

Help Desk
Description: Help Desk Technician position for a prestigious professional services firm. The person needs
Company: The Forum Group
Location: Hackensack
Posted on: 01/24/2020

Shopper Part Time
Description: Shipt is a membership-based marketplace that helps people get the things they need, like fresh produce and household essentials, from stores they trust. Help people save time and have fun while you're (more...)
Company: Shipt
Location: West Babylon
Posted on: 01/24/2020

.Net Developer/DotNet Developer
Description: .Net Developer WPF North Brunswick, NJ amp Charlotte, NC C , WPF, XAML and the MVVM pattern Experience
Company: Euclid Innovations
Location: East Brunswick
Posted on: 01/24/2020

Full Time Teller, Edison, NJ
Description: Full Time Teller, Edison, NJ-1906187DescriptionAs a member of Santander's retail banking division you'll help serve Santander's retail and small business customers as part of one of the top banks in the (more...)
Company: Santander
Location: East Brunswick
Posted on: 01/24/2020

Remote Law Enforcement Transcriber
Description: Net Transcripts is looking for many vendors / independent contractors who have experience transcribing audio content of criminal investigations, court proceedings, law enforcement interviews, jail calls, (more...)
Company: Net Transcripts
Location: White Plains
Posted on: 01/24/2020

Log In or Create An Account

Get the latest New York jobs by following @recnetNY on Twitter!

White Plains RSS job feeds