Nurse Specialist - Fully Remote

The Nurse Specialist is responsible for utilizing their nursing knowledge and clinical judgement in reviewing all client employee examinations, testing, and questionnaires, in consultation with

Work Care Physicians , ensuring compliance with regulatory requirements, company policies, and industry standards to determine employee’s ability to perform essential job functions. Additionally, this role also involves providing nursing support activities/services for case management andreturnto work programs.

Schedule:

Monday - Friday, 8:30am - 5:00pm

• Provide professional nursing review of occupational health records for client employee medical surveillance exams, laboratory test results, healthquestionnairesand medication review asdeterminedby client todetermineif employee is cleared to work
• Maintain detailed andaccuraterecords of all reviews and actions taken
• Escalate cases as needed toWork Care Physician  for review, guidance/recommendations and clearance
• Identify potential health concerns, inconsistencies, or missing information and take appropriate follow-upactions
• Collaborate with client to clarify medical documentation and testing requirements as needed
• Provide guidance to employeesregardingadditionaltests or follow-ups needed
• Respond to client and employee inquiries professionally and promptly
• Stay updated on relevant occupational health standards and regulations

• Facilitateappropriateandtimelycase management with the focus on safe employee return-to-work and the return tomaximumfunctionality
• Provide communication, coordination and educationrequiredtooptimizeoutcomes across the continuum of health, disability, workers’ compensation, and work-life issues
• Provide initial contact with employee, employer,provider and other appropriate stakeholders(3 pointcontact) as soon as assignment is received
• Maintain contact and communicate with the adjuster/TPA/employer assigned to the file through phone calls,emailand written reports
• Works as a liaison with the Client for return-to-work accommodation/limitations until fully released
• Coordinates RTW exams as per client guidelines or DOT guidelines.
• Coordinates Drug Testing exam as per client guidelines for RTW.
• Coordinates Fit for Duty exams
• Works with Client Medical Team for RTW if required or Medical Oversight atWorkCareif needed.
• Understand limits of decision making authority delegated by the adjuster/TPA/employer to the nurse specialist and respects these limits
• Keeps adjuster/TPA/employer up to date with activity in the case, casedirectionor secure authorization for services
• Meets with Stakeholders to provide weekly updates on status of open cases
• Monitor and oversee employee care including doctor’s visits, therapy sessions and return to work.
• Contacts employees that are absent from work due to non-occupational injury or illness when appropriate, and monitoring
  
  Light Duty assignments
• Works with and provides the employee’s physician with their job description for determination of return-to-work readiness, release date, and clearance to return-to-work.
• Assist sand interprets medical documentation to support medical accommodations/restrictions and consults with
  
  Work Care Physician  as needed
• Follow up with employee’s PCP/Worker’s Comp Physician to clarification as needed
• Obtain Release of Information to obtain medical records when required
• Employ best practices that require early intervention and the setting of realistic expectations for disability duration, return-to-work, and return of functionality

• Process all leave of absence requests which include but is not limited to, guiding employees through the leave process according to established policies, procedures…