RN Disability Nurse Case Manager Specialist-Plano, TX

Mô tả công việc

Responsibilities Monitors medical progress of claimants and reports on and plans for deviations from the normal recovery process/length of disability.Evaluates timely activity and case development of an effective medical plan with the most appropriate outcome.Routinely evaluates case studies to identify trends, issues, and concerns.  Makes any necessary modifications.Participates directly in customer service calls, visits, pre-sales, installations, and renewals.Supports CIGNA Group Insurance initiatives for quality improvement, change, growth, and excellence in business practices.Understands and is able to articulate claimant's perspectiveFacilitates relations with and between Claim Examiners, business partners, and customers to develop claim strategies, reduce the total cost of disability in all forms and implement improvement opportunities.Collaborates with health care providers and ill/injured employees to promote accountability for the appropriateness and status of treatment plan and length of disability.Acts as an advocate for injured/ill individuals through the assessment, planning, coordination, collaborating, evaluating, and communication of objective information regarding the medical status and state of well being.Acts as a medical resource person for staff; provides educational opportunities for staff through training, inservice, and sharing of resources on one-on-one or group forums, whichever is most efficient and effective.