RN, Nurse Case Management, Risk Management - Lakeland

DESCRIPTION

The purpose of this position is to provide medical evaluation, clinical
management, and coordination of medical services for Publix associates that have
sustained on-the-job injuries.  The Nurse Case Manager is responsible for the
evaluation of the medical necessity of recommended services, coordination of
those services, and monitoring of these services to facilitate timely return to
work within nationally accepted disability duration guidelines. The Nurse Case
Manger monitors the ongoing treatment plan to ensure treatment is appropriate
and recovery objectives are achieved. The RN Case Managers are required to
acquire and maintain licensure credentials and requirements in all of the states
in which Publix conducts business.

The impact this position has on Publix is that the RN Nurse Case Manager is
critical to the process of a timely and accurate return to work for injured
associates. This has a direct productivity/financial impact on the departments
in which the associates work. This process directly impacts the medical and
indemnity costs of the workers compensation claim.

The responsibilities listed on this position analysis are not intended to be
all-inclusive and additional responsibilities may be assigned as needed.

Responsibilities include

* conducting ongoing clinical case management and evaluation of the medical
care for associates who have sustained on-the-job injuries
* monitoring of prescribed medications
* collaborating with medical provider and claims team to identify and
coordinate appropriate diagnostic services and specialist provider referrals
* monitoring/or clarification of provider documentation
* identifying the best vendor sources for medical supplies and other clinical
services that provide the best outcome and value

Required Qualifications

* Associate’s Degree in Nursing (ADN) and active Florida RN license.
* Must be unencumbered to secure licensure in the states in which Publix
operates.
* Minimum of three years of clinical experience in hospital, clinic or
institutional setting
* Basic Life Support. Current unrestricted Florida licensure.
* Required to successfully complete CCM Certified Case Management and pass the
national certification exam within 2 years of employment.
* Excellent verbal and written communication skills
* Excellent negotiation and problem-solving skills
* Ability to multitask with several projects and files with minimal direct
supervision
* Basic skill level in Microsoft Office programs including Word, Excel and
Outlook

Additional Required Qualifications

Preferred Qualifications

* Bachelor of Science in Nursing (BSN)
* Some experience in case management, utilization review and/or Workers Comp
* CCM (Certified Case Manager) or COHN (Certified Occupational Health Nurse)
* Knowledge of application of medical protocols and guidelines
* Knowledge of the Workers Compensation process and requirements for Medical
management in the multiple states in which Publix operates
* Advanced skill level in Risk Master
* Intermediate skill level in Microsoft Office programs including Word, Excel
and Outlook, ODG Guidelines Special Program and multiple clinical vendor
information portals

Year End Bonus

As a year-end bonus to associates, Publix issues one month’s extra pay
(pro-rated in the first year) each year if associate remains employed through
issue date of the bonus check that year. This is calculated as a 13th month of
pay in the Potential Annual Pay with Bonus line above.

Benefits Information

* Employee stock ownership plan that contributes Publix stock to associates
each year at no cost
* An opportunity to purchase additional shares of our privately-held stock
* 401(k) retirement savings plan
* Group health, dental and vision plans
* Paid Time Off
* Paid Parental Leave
* Short- and long-term disability insurance
* Tuition reimbursement
* Free hot lunches (buffet-style) at facilities with a cafeteria
* Visit our website to see all of our benefits: Benefits - Jobs (publix.com)

Additional Information

Your application may have additional steps that you will need to complete in
order to remain eligible for consideration. Please be sure to monitor your
email, including your spam folder, on a daily basis for critical, time-sensitive
emails that could require action within 24-48 hours.

Please do not use your Publix email address when applying. Once your application
has been successfully submitted you will receive a confirmation email.

For this position, Publix does not and will not file a petition or application
with the USCIS or Department of State on behalf of any noncitizen for any
immigration-related benefit to work and/or to continue to work in the United
States, e. g., an H-1B or TN petition or permanent residence.