Workers' Comp Nurse Case Manager 2024-01275
Apply NowCompany: State of Wyoming
Location: Cheyenne, WY 82001
Description:
Salary: $6,761.03 - $7,512.25 Monthly
Location : Cheyenne, WY
Job Type: Permanent Full-time
Job Number: 2024-01275
Department: Department of Workforce Services
Division: Worker's Comp - Cheyenne
Opening Date: 06/25/2024
Closing Date: Continuous
FLSA: Determined by Position
Job Classification: SOMC10
Description and Functions
Open Until Filled
GENERAL DESCRIPTION:
The Department of Workforce Services is seeking a Nurse Case Manager to coordinate, evaluate, and monitor medical care services being provided to injured workers receiving benefits under the Workers' Compensation system; provide assistance to health care providers, employers, and division professionals in coordinating care and treatment plans to return injured workers to a pre-injury status and return to work.
Human Resource Contact:
ESSENTIAL FUNCTIONS: The listed functions are illustrative only and are not intended to describe every function which may be performed at the job level.
Qualifications
KNOWLEDGE:
MINIMUM QUALIFICATIONS:
Education:
Bachelor's Degree (typically in Nursing)
Experience:
1-2 years of progressive work experience (typically in Nursing)
Certificates, Licenses, Registrations:
Must be licensed or eligible for licensure as a Registered Nurse (RN) in the State of Wyoming
OR
Education & Experience Substitution:
4-6 years of progressive work experience (typically in Nursing)
Certificates, Licenses, Registrations:
Must be licensed or eligible for licensure as a Registered Nurse (RN) in the State of Wyoming
Necessary Special Requirements
PHYSICAL WORKING CONDITIONS:
NOTES:
Supplemental Information
Click to view the State of Wyoming Classification and Pay Structure.
URL:
The State of Wyoming is an Equal Opportunity Employer and actively supports the ADA and reasonably accommodates qualified applicants with disabilities.
Class Specifications are subject to change; please refer to the A & I HRD Website to ensure that you have the most recent version.
Working for the State of Wyoming provides employees with a range of valuable benefits and offers a fulfilling career path. Employees enjoy comprehensive healthcare coverage, including medical, dental, and vision plans, ensuring their well-being and that of their families. Additionally, the state offers multiple retirement plans, which provide financial security and stability for employees once their career in public services comes to an end. the state recognizes the importance of personal time and offers generous paid time off and flexible arrangements, allowing employees to recharge, take care of personal matters, and maintain a healthy work-life integration.
There are many benefits to living and working in Wyoming. Beautiful country with wide-open spaces, clean air, great recreational activities, and no State income tax to mention a few!
to learn more!
01
(AA) Which of the following best describes your highest completed level of education to date or within the next three (3 months)? (Transcripts may be required.)
02
(AA) Which of the following Quarter/Semester credit hours best describes your completed college education to date or within the next three (3 months)? (Transcripts may be required.)
03
(SOMC10) Which of the following best describes your work experience in RN- Medical Case Review? Experience definition: (Experience as an RN.)
04
(AA) Describe your relevant experience in the box below.
05
(SOMC10) Do you currently possess or are you eligible for licensure as a Registered Nurse (RN) in the State of Wyoming?
06
(SOMC10) Please provide your license no. in the box below.
07
Describe how you have applied the principles of nursing to your past work assignments. Specifically, demonstrate the role medical terminology, physical and psychosocial principles have been applied.
08
Describe the types of diagnostic testing you have interpreted, including the amount of time spent on this activity and how the data was applied to duties to be performed.
09
Describe community resources you are aware of that might offer assistance to injured or disabled individuals.
10
Summarize your skills and experience in counseling and consultation. Include Information on the type of conditions and patients included in your summary.
11
Describe how you have applied critical analysis to available information regarding a patient's condition to arrive at a treatment plan for that condition. Include information demonstrating how you determined the correct protocol in these instances.
12
(DWS) Former State of Wyoming employees rehired within 31 days of their previous employment with the State will be required to repay any Sick and Annual leave payouts.
13
(DWS) The Wyoming Department of Workforce Services (DWS) uses E-Verify, an Internet-based system, to confirm the eligibility of all newly hired employees to work in the United States. Learn more about E-Verify, including your rights and responsibilities. I have read and understand the above statement.
14
(DWS) Please be advised that any offers of employment will be contingent upon the successful completion of a background check. I have read and understand the above statement.
15
(A1) Where did you hear about this opportunity?
16
(A1) If you selected "Current State Employee" please provide the employee's first and last name, and include the department they work for, if known. This employee may be eligible for a Referral bonus.
17
(AA) If you anwsered Other, please tell us where.
18
(AA) VETERANS' PREFERENCE DISCLOSURE: PER WYOMING STATUTE, current employees of the State of Wyoming are not eligible for veterans' preference. If you are not a current employee of the State of Wyoming, to be eligible to receive veterans' preference you MUST have been a resident of the State of Wyoming for a period of one (1) year or more at any time prior to submitting this application. I have read and understand the veterans' preference disclosure.
19
(AA) VETERANS' PREFERENCE: If you are a war veteran as defined in section 101, Title 38, United States Code or are the surviving spouse of a war veteran who receives survivor benefits from the federal government based on the veteran's military service, and wish to claim veterans' preference, please attach the appropriate documentation substantiating your claim. Indicate below your appropriate veterans' preference status. By requesting veterans' preference, you are certifying that you meet the statutory requirements as described in the above disclosure.
20
(AA) Please be advised that an incomplete application WILL NOT be considered for employment. An attached resume' is not required and is not an acceptable substitution for a completed application. Some State of Wyoming agencies use E-Verify, an Internet-based system, to confirm the eligibility of all newly hired employees to work in the United States. Learn more about E-Verify, including your rights and responsibilities at https://www.uscis.gov/e-verify.I have read and understand the above statement.
Required Question
Location : Cheyenne, WY
Job Type: Permanent Full-time
Job Number: 2024-01275
Department: Department of Workforce Services
Division: Worker's Comp - Cheyenne
Opening Date: 06/25/2024
Closing Date: Continuous
FLSA: Determined by Position
Job Classification: SOMC10
Description and Functions
Open Until Filled
GENERAL DESCRIPTION:
The Department of Workforce Services is seeking a Nurse Case Manager to coordinate, evaluate, and monitor medical care services being provided to injured workers receiving benefits under the Workers' Compensation system; provide assistance to health care providers, employers, and division professionals in coordinating care and treatment plans to return injured workers to a pre-injury status and return to work.
Human Resource Contact:
ESSENTIAL FUNCTIONS: The listed functions are illustrative only and are not intended to describe every function which may be performed at the job level.
- Evaluate claimant needs and medical records to direct medical case management activities.
- Provide assistance to healthcare providers, employers, and division professionals in coordinating care and treatment plans.
- Ensure that appropriate medical care is delivered to injured workers in a manner that is consistent with the statutes, rules, and regulations of the division.
- Perform a medical review screening on pre-authorization requests for proposed surgical procedures.
- Obtain all medical documentation to accompany the pre-authorization requests.
- Refer cases for peer review as indicated from treatment guidelines and medical reviews.
- Document all interactions, reviews, approvals, and denials in the claims management system.
- Review CPT and ICD-10 codes, and surgical descriptions for accuracy on pre-authorization requests.
- Review medical documentation utilizing the Division's treatment guidelines for surgical procedures.
- Maintain tracking of all pre-authorization referrals, surgical procedures, clinical bills, and prescription requests
- Review pre-authorization provider requests for compliance with treatment guidelines.
- Act as a medical resource for claims analysts; write medical questions for multi-types of evaluations.
- Review medical bills, prescription requests, UDS, chiro/PT treatments, and DME for relatedness.
Qualifications
KNOWLEDGE:
- Knowledge of community resources.
- Skills in counseling and consultation.
- Ability to apply principles of nursing, particularly medical terminology, and physical and psychosocial principles.
- Ability to interpret diagnostic testing.
- Ability to critically analyze data.
MINIMUM QUALIFICATIONS:
Education:
Bachelor's Degree (typically in Nursing)
Experience:
1-2 years of progressive work experience (typically in Nursing)
Certificates, Licenses, Registrations:
Must be licensed or eligible for licensure as a Registered Nurse (RN) in the State of Wyoming
OR
Education & Experience Substitution:
4-6 years of progressive work experience (typically in Nursing)
Certificates, Licenses, Registrations:
Must be licensed or eligible for licensure as a Registered Nurse (RN) in the State of Wyoming
Necessary Special Requirements
PHYSICAL WORKING CONDITIONS:
- Minimal travel may be required.
NOTES:
- FLSA: Exempt
- The Wyoming Department of Workforce Services (DWS) uses E-Verify, an Internet-based system, to confirm the eligibility of all newly hired employees to work in the United States. Learn more about , including your rights and responsibilities.
- For the Veteran's preference consideration, supporting documentation must accompany your application.
- Former State of Wyoming employees, who are rehired within 31 days from their previous employment, will be required to reimburse the State of Wyoming for all Vacation and Sick leave compensation received upon separation.
- Offers of employment will be contingent upon the successful completion of a background check.
Supplemental Information
Click to view the State of Wyoming Classification and Pay Structure.
URL:
The State of Wyoming is an Equal Opportunity Employer and actively supports the ADA and reasonably accommodates qualified applicants with disabilities.
Class Specifications are subject to change; please refer to the A & I HRD Website to ensure that you have the most recent version.
Working for the State of Wyoming provides employees with a range of valuable benefits and offers a fulfilling career path. Employees enjoy comprehensive healthcare coverage, including medical, dental, and vision plans, ensuring their well-being and that of their families. Additionally, the state offers multiple retirement plans, which provide financial security and stability for employees once their career in public services comes to an end. the state recognizes the importance of personal time and offers generous paid time off and flexible arrangements, allowing employees to recharge, take care of personal matters, and maintain a healthy work-life integration.
There are many benefits to living and working in Wyoming. Beautiful country with wide-open spaces, clean air, great recreational activities, and no State income tax to mention a few!
to learn more!
01
(AA) Which of the following best describes your highest completed level of education to date or within the next three (3 months)? (Transcripts may be required.)
- High School Diploma/GED/or Equivalent
- Some college Coursework, No Degree Received
- Associate's Degree
- Associate's Degree and additional coursework
- Bachelor's Degree
- Bachelor's Degree and additional coursework
- Master's Degree
- Master's Degree and additional coursework
- Doctorate Degree
- Doctorate Degree and additional coursework
- None of the Above
02
(AA) Which of the following Quarter/Semester credit hours best describes your completed college education to date or within the next three (3 months)? (Transcripts may be required.)
- 45+ Quarter hours/30+ Semester hours
- 90+ Quarter hours/60+ Semester hours
- 136+ Quarter hours/91+ Semester hours
- 180+ Quarter hours/120+ Semester hours
- 225+ Quarter hours/150+Semester hours
- N/A
03
(SOMC10) Which of the following best describes your work experience in RN- Medical Case Review? Experience definition: (Experience as an RN.)
- No relevant experience.
- Less than one (1) year of relevant experience.
- One (1) to less than three (3) years of relevant experience.
- Three (3) to less than four (4) years of relevant experience.
- Four (4) or more years of relevant experience.
04
(AA) Describe your relevant experience in the box below.
05
(SOMC10) Do you currently possess or are you eligible for licensure as a Registered Nurse (RN) in the State of Wyoming?
- Yes
- No
06
(SOMC10) Please provide your license no. in the box below.
07
Describe how you have applied the principles of nursing to your past work assignments. Specifically, demonstrate the role medical terminology, physical and psychosocial principles have been applied.
08
Describe the types of diagnostic testing you have interpreted, including the amount of time spent on this activity and how the data was applied to duties to be performed.
09
Describe community resources you are aware of that might offer assistance to injured or disabled individuals.
10
Summarize your skills and experience in counseling and consultation. Include Information on the type of conditions and patients included in your summary.
11
Describe how you have applied critical analysis to available information regarding a patient's condition to arrive at a treatment plan for that condition. Include information demonstrating how you determined the correct protocol in these instances.
12
(DWS) Former State of Wyoming employees rehired within 31 days of their previous employment with the State will be required to repay any Sick and Annual leave payouts.
- I am a former State of Wyoming employee and I have read and understand the above statement.
- I am not a former State of Wyoming employee.
13
(DWS) The Wyoming Department of Workforce Services (DWS) uses E-Verify, an Internet-based system, to confirm the eligibility of all newly hired employees to work in the United States. Learn more about E-Verify, including your rights and responsibilities. I have read and understand the above statement.
- Yes
- No
14
(DWS) Please be advised that any offers of employment will be contingent upon the successful completion of a background check. I have read and understand the above statement.
- Yes
- No
15
(A1) Where did you hear about this opportunity?
- Indeed
- Zip Recruiter
- Wyoming Workforce Center
- Other job sites (Wyoming at Work, Monster, etc.)
- Social Media (Facebook, Twitter, etc.)
- Newspaper/Newsletter Advertisement
- Career Fair
- Human Resources Division
- Friend or Acquaintance (Not State Employee)
- Current State Employee
- Other
16
(A1) If you selected "Current State Employee" please provide the employee's first and last name, and include the department they work for, if known. This employee may be eligible for a Referral bonus.
17
(AA) If you anwsered Other, please tell us where.
18
(AA) VETERANS' PREFERENCE DISCLOSURE: PER WYOMING STATUTE, current employees of the State of Wyoming are not eligible for veterans' preference. If you are not a current employee of the State of Wyoming, to be eligible to receive veterans' preference you MUST have been a resident of the State of Wyoming for a period of one (1) year or more at any time prior to submitting this application. I have read and understand the veterans' preference disclosure.
- Yes
- No
- I am not a veteran
19
(AA) VETERANS' PREFERENCE: If you are a war veteran as defined in section 101, Title 38, United States Code or are the surviving spouse of a war veteran who receives survivor benefits from the federal government based on the veteran's military service, and wish to claim veterans' preference, please attach the appropriate documentation substantiating your claim. Indicate below your appropriate veterans' preference status. By requesting veterans' preference, you are certifying that you meet the statutory requirements as described in the above disclosure.
- Current State Employee
- Veteran - DD214 Attached
- Disabled Veteran (10% or more) - DD214 and Veteran's Disability Determination Attached
- Surviving Spouse of a Deceased Veteran - DD214 and proof of Survivor Benefit Attached
- None of the above
20
(AA) Please be advised that an incomplete application WILL NOT be considered for employment. An attached resume' is not required and is not an acceptable substitution for a completed application. Some State of Wyoming agencies use E-Verify, an Internet-based system, to confirm the eligibility of all newly hired employees to work in the United States. Learn more about E-Verify, including your rights and responsibilities at https://www.uscis.gov/e-verify.I have read and understand the above statement.
- Yes
- No
Required Question