RN Medical Case Manager

The Medical Case Manager (MCM) is a Registered Nurse and may also be referenced as the Nurse Case Manager (NCM). The MCM implements integrated medical disability case management services with the goal of preventing, minimizing, or overcoming disability. The MCM provides medical expertise and serves as the critical communication link between the parties involved in any medical disability case. The MCM emphasizes returning medically-able individuals to productive service. The MCM ensures timely interventions and facilitates continuous communication while providing patient advocacy through supporting patient choices. As a Registered Nurse, the MCM, provides a professional nursing approach to case management through the Nursing Process involving: Assessment, Planning, Implementation, Monitoring, and Evaluation. The MCM is sensitive to the importance of productive work and sees a return to work as the key outcome

Responsible for coordinating the treatment pathways of those claims that meet the internal case management criteria, including setting the appropriate treatment plan and other activities that meet an injured worker's/employee's health and return-to-work needs or other productive activity. Understands and implements criteria for identifying individuals for case management services Coordinates case management plans and activities with the human resources department of the injured worker/employee, as appropriate