Health Care Professional Case Manager

Overview

Manage and coordinate health care case management for employee injuries and illnesses.

Key Responsibilities

• case identification
• risk assessment
• provider evaluation
• network management
• on‑call
• record keeping

Tasks

-Determines essential job functions and identifies and implements necessary limitations, accommodations and part-time work for high frequency/high risk cases in which such an intervention could reduce the length of disability. -Identifies cases involving high frequency and high-risk injuries/illnesses. Performs ongoing evaluation and treatment plans for all identified cases. -Coordinates with benefits, legal, employee relations, safety and industrial hygiene supervisors and other company areas for case management factors, concepts and concerns. -Identifies cases requiring Physician level review for case management, coordinates the review process, and implements recommendations. -Responsible to be on call 24 hours a day/seven days a week. -Determines service needs, selects appropriate network service providers, evaluates provider services, and makes recommendations for retention or removal from the network. -Establishes and maintains a confidential record keeping system for all cases involved in the case management process to support the process and all decisions made as part of the process.

Requirements

• bls
• registered nurse
• case management
• bsn
• microsoft office
• 7+ years

What You Bring

-BLS (Basic Life Support) Certification -Registered Nurse, Nurse Practitioner, Physician Assistant (Licensed in State where service provided). -Knowledge and understanding of the provision of case management for workers compensation, disability, limited duty, safety, Industrial Hygiene, healthcare plans, regulatory medical requirements and external healthcare resources. -Registered Nurse or nurse practitioner with at least 7 years of experience preference ER. ICU, CCU experience. -BSN, CCM, COHN, MSN, MPH or Master's in related field. -2 to 5 years of occupational health nursing experience or related field. -Experience with Microsoft office applications -Ability to work in and contribute to a team environment. -Evaluation, assessment, solving, and negotiating skills.

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Benefits

-Referral bonus program -401(k) match and annual company contribution -Generous paid time off options, including vacation, sick time, floating and fixed holidays, maternity leave and bonding/primary caregiver leave or parental leave -Employee Assistance Program and resources for mental and emotional support -Medical, dental and vision insurance -Annual Bonus for eligible positions: 15% -Wellbeing programs such as tuition reimbursement, adoption and surrogacy assistance and fitness reimbursement -Annual salary will vary based on a candidate’s skills, qualifications, experience, and other factors: $92,800.00/Yr. – $127,600.00/Yr. -Life and disability insurance

About Exelon

-Exelon operates as America's largest regulated energy delivery company, formed from the merger of two century-old utilities in 2000. -It focuses on modernizing infrastructure and enhancing grid resilience through continuous investment. -The company's portfolio includes major utilities such as ComEd, BGE, PECO, Pepco, and others, covering vast transmission and distribution systems. -In 2022, Exelon spun off its power generation arm while maintaining full ownership of its transmission and distribution networks. -Exelon’s strategic initiatives often influence the mid-Atlantic and Midwest energy markets, shaping the regional energy landscape.

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