MEMIC is a safety company; therefore we require all employees to be fully vaccinated for COVID-19, unless an employee is allowed an exemption from this requirement due to a reasonable accommodation for legally protected medical or religious reasons.
The Mission of The MEMIC Group is to make workers' comp work better with compassion, trusted partnerships, and relentless commitment to workforce safety. The secret to the success and longevity of great organizations is their shared vision and strong values. At MEMIC our values are to be conscientious, to be an expert, to be a partner, to be curious and to be transparent.
The Early Intervention Nurse Case Manager initiates clinical assessment of injured workers’ reported injuries, reviews available medical data, screens, assesses, stratifies, evaluates and coordinates the need for nurse case intervention and cost-effective medical treatment in support of the Claim Department goals.
Principal Duties and Responsibilities:
- Review current medical information and initiate telephonic contact with recently injured workers to assess injury severity, clinical complexity, and current medical status.
- Assess and identify factors related to the injury, and other clinical and social factors that may require further follow-up and/or services.
- Identify and communicate urgent situations related to treatment or patient condition directly to the claim and managed care services teams.
- Initiate appropriate referrals for Telephonic Case Management.
- Provide clinical input regarding appropriate and cost effective medical, surgical and/or claim resources.
- Collaborate with claim professionals as a medical resource and clinical coach to promote optimal outcomes.
- Handle a caseload of telephonic case management files, based on business needs.
Requirements:
- Current unencumbered RN Licensure required; licensure in a nurse compact licensure state (NLC) strongly preferred.
- Bachelor’s Degree in Nursing preferred.
- Minimum of two (2) years direct clinical care focused on adult consumers required. Experience in Workers’ Compensation, occupational nursing, disability insurance, or telephone triage preferred.
- Excellent negotiation and collaboration skills.
- Excellent communication (written and verbal), analytical and organization skills are essential.
- Ability to identify and resolve problems in a timely manner, while able to gather and analyze information.
- Ability to demonstrate accuracy and thoroughness.
- Must have proficient computer skills, including Microsoft Office programs.
- Ability to set priorities and work independently is essential.
- Ability to effectively manage workload within productivity, quality, and service standards and guidelines.
- Ability to work in a fast-paced, team-based corporate environment.
- Ability to multi-task, manage workload, and operate with a sense of urgency.
Our comprehensive benefits package includes all traditional offerings such as:
- 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
We also offer other benefits to help foster a healthy, balance lifestyle such as:
- 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
MEMIC is committed to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religious creed, national origin, ancestry, age, disability, genetics, gender identity, veteran's status, sexual orientation, or any other characteristic protected by law. MEMIC is an equal opportunity employer encouraging diversity in the workplace.