| Company: | Matrix Absence Management
Phoenix, AZ |
| Job Location: |
All Counties in NY |
| Employment Type: | Full Time |
| Department: | Medical Unit |
| Benefits: | FULL BENEFITS, 401K, PTO |
Description: |
The Nurse Case Manager(s) will assist the employer and Matrix in the resolution of complex Short and Long-Term disability claims. This position will include establishing return to work activities, facilitating medical care with providers and the Employer's health care plans, and achieving directed case management strategy outcomes.
***POSITION CAN BE LOCATED IN PHOENIX, AZ, HAWTHORNE, NY or PORTLAND, OR locations***
Claim resolution may involve working directly with the Employer, Attorneys, Investigators, Rehabilitation Counselors, the employee, the treatment provider and other professionals assigned to the claim.
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Duties: |
-Handle the most complex claims in case management.
-Position includes telephonic and onsite activities to assist employees in returning to work.
-Consults and advises disability staff on medical elements associated with disability claims.
-Evaluates nature, status, duration and validity of disability claim modified duty programs for injured claimants.
-Requests and investigates all appropriate sources of information to make accurate and ongoing disability determinations.
-Assists with special projects and staff training programs.
-Performs related work as assigned. |
Qualifications: |
-Licensed RN with a minimum of five (5) years of applicable experience in disability, workers’ compensation case management or LOA programs.
-College degree required. Bachelors or Masters Degree in Nursing or similar field preferred.
-Certification in UR/QA, Case Management or OCCUPATIONAL HEALTH NURSING is preferred.
-Use of computerized claims systems, Microsoft Office Suite experience required.
-Understanding of workers compensation or similar utilization review and quality assurance programs.
-Conversant with evidence-based medicine protocols and disability duration guides desired.
Additional Qualifications:
-Excellent presentation and written/verbal communication skills.
-Ability to communicate effectively, both orally and in writing.
-Proven experience in providing internal and external customer service.
-Ability to handle confidential information with the utmost judgment and discretion.
-High attention to detail.
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Matrix Absence Management is a nationwide company that partners with employers to provide customized management of disability, workers’ compensation and family leave programs.
We service a wide range of nationwide clients. Our clients include Fortune 500 companies, Technology sector leaders, Service Companies, Manufactures, Bio Tech, Utilities and Healthcare.
Matrix Vision: Throughout our history, Matrix has delivered high-quality service and leading edge technology to our clients. Our services have been designed to improve both bottom-line financial results and employee relations through superior service and expertise in disability management.
The nature of our services has evolved over time in response to client needs, legislative changes and the competitive marketplace. We have expanded our services to include Family Medical Leave Administration (FMLA), Personal Leave administration, 1-800 claim reporting services, and Human Resources Support Services (designed to alleviate much of the administrative burden associated with leave management).
We develop procedures to meet the individual requirements of the client and are guided by the client's best interest in choosing a strategy concerning claims management. We recognize that our business requires continuous improvement and innovation and we encourage our employees to seek out new and better ways to do their job.
We feel strongly that every absent employee is entitled to certain rights and we communicate those rights at the beginning of the claim or leave. We assist with legal compliance associated with employee absences, reducing employer exposure to litigation through consistent management of federal and state mandated leaves.
Matrix Absence Management is an Equal Opportunity Employer offering employment opportunities to all regardless of race, color, religious creed, national origin, ancestry, physical disability, mental disability, medical condition, marital status, sex, age, political affiliation, or sexual orientation. |
