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Chubb Services Nurse Case Manager
at Chubb Group of Insurance Companies in California
For more than 125 years, Chubb & Son, a division of Federal Insurance Company has been delivering exceptional property and casualty insurance products and services to businesses and individuals around the world.
Today, we are the 11th largest property and casualty insurer in the United States and have a worldwide network of some 120 offices in 28 countries staffed by 10,600 employees. The Chubb Corporation reported $50.6 billion in assets and $14.1 billion in revenues in 2007. According to Fortune magazine, Chubb is the 176th largest U.S.-based corporation. The magazine also includes Chubb in its list of “America’s Most Admired Companies.” Forbes listed Chubb as one of America’s 400 Best Big Companies.
Currently, Chubb is seeking a Chubb Services Corp Nurse Case Manager for the Los Angeles, CA office.
Job Summary:
To evaluate and expedite appropriate, cost effective medical treatment of injured employees with the goal of optimum medical improvement, and early return to work.
Major Duties/Responsibilities of Position:
I. Receives new assignments from adjusters to evaluate need for case management intervention.
A. Reviews initial investigation report;
B. Calls injured employee for relevant information on injury, current medical treatment and to inform employee of Case Manager's available assistance;
C. Calls physician for status of disability, treatment plan, and to inform the physician of Case Manager's available assistance;
D. Calls employer to inform them of employee's current work status, to discuss early return to work options, and to advise of Case Manager's available assistance;
E. Completes preliminary report for adjuster. Identifies appropriate disability duration timeframes. Make recommendations as to further activities and need for continued case management. Proceeds as directed by adjuster;
II. As directed, monitors employee's progress.
A. Maintains contacts with employee, doctor, and employer to ensure timely and accurate information;
B. Develops plan of action to facilitate maximum medical recovery. Confers with adjuster, employee, and doctor to work within that plan, or to make necessary modifications;
C. Assists doctor and employee in locating ancillary medical services that may be needed (e.g. physiotherapy, x-rays, etc.). Recommends use of pre-determined PPO providers when appropriate. Seeks out alternative providers, as warranted;
D. Alerts adjuster to proposed medical care and possible alternative procedures. As directed by the adjuster, discuss alternatives with the treating physician;
E. Makes recommendation for the need for on site case management services based on severity and longevity of case.
III. Coordinates Early Return to Work Plan.
A. Develops action plan for early return to work (RTW). Such a plan must consider not only full duty RTW, but also modified and light duty. Confers with employer, employee, doctor, and adjuster to execute the plan, and/or determine necessary modifications;
B. Updates the employer on work status of employee and verifies status of RTW possibilities. Updates employee of RTW options;
C. Thirty day follow up with injured employee and employer to ensure smooth return to work;
IV. Assists Claims Department with identifying physicians to treat injured employees, Impartial Medical Examiners, and establishing or adding to Preferred Provider Organization. Establish a list of preferred physicians, OT/PT with addresses and telephone numbers.
Knowledge & Skills (education, experience, etc., and the application of these on the job):
Active CA RN license required. Bachelor or Science in Nursing preferred. CCM (Certified Case Manager) certification eligible. Minimum one year experience in the Medical Management, Home Healthcare, Occupational Healthcare or Hospital Case Management experience required. ICU, Emergency or Orthopedic nursing experience would be beneficial.
Excellent communication skills are mandatory; this position will involve continuous personal, telephone and written contact and appropriate interpersonal skills are critical. Must have knowledge of traumatic injuries, the resultant disabilities and medical complications. Ability to work independently, demonstrating strong skills with time management, organization, critical thinking and meeting deadlines is a must. Candidates with prior experience in STD/LTD Case management will be considered.
Chubb prides itself on the ability to provide all employees with an extraordinary work environment which promotes teamwork, diversity and incentives for those who exceed expectations. Chubb has been recognized as one of the top 50 companies for diversity by DiversityInc magazine, one of America’s most admired companies by Forbes, and one of the top 100 companies to work for by Fortune.
Chubb's compensation and benefit plans work together to create a Total Rewards Program for our employees that is among the best in our industry. As a global organization, we work hard to achieve our goal of providing flexible and competitive compensation and benefits packages in each local market in which we operate. Our goal is to exceed average market practices for our performers. For more information about Chubb and our benefits, visit our website at www.chubb.com.
All interested applicants must apply online at www.chubb.apply2jobs.com Reference Requisition number 7846.
Today, we are the 11th largest property and casualty insurer in the United States and have a worldwide network of some 120 offices in 28 countries staffed by 10,600 employees. The Chubb Corporation reported $50.6 billion in assets and $14.1 billion in revenues in 2007. According to Fortune magazine, Chubb is the 176th largest U.S.-based corporation. The magazine also includes Chubb in its list of “America’s Most Admired Companies.” Forbes listed Chubb as one of America’s 400 Best Big Companies.
Currently, Chubb is seeking a Chubb Services Corp Nurse Case Manager for the Los Angeles, CA office.
Job Summary:
To evaluate and expedite appropriate, cost effective medical treatment of injured employees with the goal of optimum medical improvement, and early return to work.
Major Duties/Responsibilities of Position:
I. Receives new assignments from adjusters to evaluate need for case management intervention.
A. Reviews initial investigation report;
B. Calls injured employee for relevant information on injury, current medical treatment and to inform employee of Case Manager's available assistance;
C. Calls physician for status of disability, treatment plan, and to inform the physician of Case Manager's available assistance;
D. Calls employer to inform them of employee's current work status, to discuss early return to work options, and to advise of Case Manager's available assistance;
E. Completes preliminary report for adjuster. Identifies appropriate disability duration timeframes. Make recommendations as to further activities and need for continued case management. Proceeds as directed by adjuster;
II. As directed, monitors employee's progress.
A. Maintains contacts with employee, doctor, and employer to ensure timely and accurate information;
B. Develops plan of action to facilitate maximum medical recovery. Confers with adjuster, employee, and doctor to work within that plan, or to make necessary modifications;
C. Assists doctor and employee in locating ancillary medical services that may be needed (e.g. physiotherapy, x-rays, etc.). Recommends use of pre-determined PPO providers when appropriate. Seeks out alternative providers, as warranted;
D. Alerts adjuster to proposed medical care and possible alternative procedures. As directed by the adjuster, discuss alternatives with the treating physician;
E. Makes recommendation for the need for on site case management services based on severity and longevity of case.
III. Coordinates Early Return to Work Plan.
A. Develops action plan for early return to work (RTW). Such a plan must consider not only full duty RTW, but also modified and light duty. Confers with employer, employee, doctor, and adjuster to execute the plan, and/or determine necessary modifications;
B. Updates the employer on work status of employee and verifies status of RTW possibilities. Updates employee of RTW options;
C. Thirty day follow up with injured employee and employer to ensure smooth return to work;
IV. Assists Claims Department with identifying physicians to treat injured employees, Impartial Medical Examiners, and establishing or adding to Preferred Provider Organization. Establish a list of preferred physicians, OT/PT with addresses and telephone numbers.
Knowledge & Skills (education, experience, etc., and the application of these on the job):
Active CA RN license required. Bachelor or Science in Nursing preferred. CCM (Certified Case Manager) certification eligible. Minimum one year experience in the Medical Management, Home Healthcare, Occupational Healthcare or Hospital Case Management experience required. ICU, Emergency or Orthopedic nursing experience would be beneficial.
Excellent communication skills are mandatory; this position will involve continuous personal, telephone and written contact and appropriate interpersonal skills are critical. Must have knowledge of traumatic injuries, the resultant disabilities and medical complications. Ability to work independently, demonstrating strong skills with time management, organization, critical thinking and meeting deadlines is a must. Candidates with prior experience in STD/LTD Case management will be considered.
Chubb prides itself on the ability to provide all employees with an extraordinary work environment which promotes teamwork, diversity and incentives for those who exceed expectations. Chubb has been recognized as one of the top 50 companies for diversity by DiversityInc magazine, one of America’s most admired companies by Forbes, and one of the top 100 companies to work for by Fortune.
Chubb's compensation and benefit plans work together to create a Total Rewards Program for our employees that is among the best in our industry. As a global organization, we work hard to achieve our goal of providing flexible and competitive compensation and benefits packages in each local market in which we operate. Our goal is to exceed average market practices for our performers. For more information about Chubb and our benefits, visit our website at www.chubb.com.
All interested applicants must apply online at www.chubb.apply2jobs.com Reference Requisition number 7846.
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Published on Jun 17, 2010
Viewed: 191 times
Viewed: 191 times
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