Nurse Medical Case Manager position now available with Pinnacol...

We are seeking a Medical Case Manager to work with claims personnel and other internal/external stakeholders to bring medical and claims issues to an expedient and cost-effective resolution and to provide our company and our stakeholders with best in class medical case management. A current Colorado nursing  license is required and candidates must be willing to attain and maintain case manager certification within 3 years of hire. Five  or more years’ experience in nursing strongly preferred.

Many nurses may be unaware of the opportunities that exist outside the traditional clinical environment. Most nursing schools don't expose their students to the career options that exist in the Occupational Health field and Insurance industry. One of these options is the case management and care of individuals who have been injured on the job. 

You might be curious about how these nurse roles are different from the role nurses traditionally are in. Working in the occupational health field and insurance industry offer some attractive advantages including:  regular daytime business schedules, no necessity to bid for shifts, and no need to work nights, weekends, and holidays. Another appeal is the less demanding physicality of these jobs with less standing and less wear and tear on the body.  Caseloads also tend to be more manageable as insurance companies such as Pinnacol generally have state of the art systems that make it easier to document patient care and manage caseloads. 

Pinnacol's  Medical Case Managers consult with claims representatives regarding the medical aspects of claims while interacting telephonically with injured workers and  providers to ensure recovery, successful return to work, and returning the injured worker to their pre-injury condition. Some of these positions work on more complicated long-term cases requiring critical and strategic thinking skills and involves the comprehensive, in-depth, medical review of records within a legal framework.  All Medical Case Manager positions participate in consultation with physicians, occupational and physical therapists, external case managers, specialists, and legal staff.  While these positions generally do not provide direct patient care, nurses involved in this type of work are critical in helping move cases along and ensuring positive outcomes. 

It is interesting to note that most nurses in these positions come directly from the clinical environment and represent all types of specialties. The work environment is team-based and nurses interact on a daily basis with other team members including claims representatives, underwriters, auditors, legal counsel and administrative support personnel.  Nurses drawn to these types of positions tend to bring a strong desire to learn, adaptability to change, the ability to educate those around them, while creating a balance of empathy and the promotion of well-being for the injured worker. 

For the Medical Case Manager position substantial training is done and appeals to every type of learner in that there are visual, hands-on, one-on-one, classroom and self-study components. The work is varied and challenging so learning continues well after the formal training is over. While most nurses have never been directly exposed to the availability of these types of career options, many find them to be well worth exploring at some point in their careers. 

If the Medical Case Manager position sounds of interest we would love to hear from you! We ask candidates to please apply via our company website.