What are the responsibilities and job description for the Health Care Prfssionl Case Mgr position at Exelon?
Who We Are
We're powering a cleaner, brighter future.
Exelon is leading the energy transformation, and we're calling all problem solvers, innovators, community builders and change makers. Work with us to deliver solutions that make our diverse cities and communities stronger, healthier and more resilient.
We're powered by purpose-driven people like you who believe in being inclusive and creative, and value safety, innovation, integrity and community service. We are a Fortune 200 company, 19,000 colleagues strong serving more than 10 million customers at six energy companies -- Atlantic City Electric (ACE), Baltimore Gas and Electric (BGE), Commonwealth Edison (ComEd), Delmarva Power & Light (DPL), PECO Energy Company (PECO), and Potomac Electric Power Company (Pepco).
In our relentless pursuit of excellence, we elevate diverse voices, fresh perspectives and bold thinking. And since we know transforming the future of energy is hard work, we provide competitive compensation, incentives, excellent benefits and the opportunity to build a rewarding career.
Are you in?
Primary Purpose
Primary Duties
Job Scope
Minimum Qualifications
Preferred Qualifications
Benefits
We're powering a cleaner, brighter future.
Exelon is leading the energy transformation, and we're calling all problem solvers, innovators, community builders and change makers. Work with us to deliver solutions that make our diverse cities and communities stronger, healthier and more resilient.
We're powered by purpose-driven people like you who believe in being inclusive and creative, and value safety, innovation, integrity and community service. We are a Fortune 200 company, 19,000 colleagues strong serving more than 10 million customers at six energy companies -- Atlantic City Electric (ACE), Baltimore Gas and Electric (BGE), Commonwealth Edison (ComEd), Delmarva Power & Light (DPL), PECO Energy Company (PECO), and Potomac Electric Power Company (Pepco).
In our relentless pursuit of excellence, we elevate diverse voices, fresh perspectives and bold thinking. And since we know transforming the future of energy is hard work, we provide competitive compensation, incentives, excellent benefits and the opportunity to build a rewarding career.
Are you in?
Primary Purpose
Directs and coordinates appropriate, timely, and cost effective delivery of health care through the case management process. This includes disability, urgent and emergency care, FFD issues, immunizations, work limitations, transitional return to work plans, accommodations and part time work for worker's compensation and non-worker's compensation illness and injury. Responsible for after hour coordination of emergency and urgent care services delivery.
Primary Duties
- Identifies cases involving high frequency and high-risk injuries/illnesses. Performs ongoing evaluation and treatment plans for all identified cases.
- 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 requiring Physician level review for case management, coordinates the review process, and implements recommendations.
- 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.
- Coordinates with benefits, legal, employee relations, safety and industrial hygiene supervisors and other company areas for case management factors, concepts and concerns.
Job Scope
- Reports to OHS Lead Clinician.
- Responsible to be on call 24 hours a day/seven days a week.
Minimum Qualifications
- Registered Nurse, Nurse Practicioner, Physician Assistant (Licensed in State where service provided).
- 2 to 5 years of occupational health nursing experience or related field.
- 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.
- Ability to work in and contribute to a team environment.
- BLS (Basic Life Support) Certification
- Experience with Microsoft office applications
Preferred Qualifications
- BSN, CCM, COHN, MSN, MPH or Master's in related field.
- Emergency Room and critical care experience preferred.
- Organizational and time management skill.
- Evaluation, assessment, solving, and negotiating skills.
Benefits
- Annual salary will vary based on a candidate's skills, qualifications, experience, and other factors:USD $92,800.00/Yr. - USD $139,200.00/Yr.
- Annual Bonus for eligible positions: 15%
- 401(k) match and annual company contribution
- Medical, Dental and Vision Insurance
- Life and disability insurance
- Generous paid time off options, including vacation, sick time, floating and fixed holidays, maternity leave and bonding/primary caregiver leave or parental leave (based on position)
- Long Term Incentive Plan for eligible positions
- Wellbeing programs such as tuition reimbursement, adoption assistance and fitness reimbursement
- Referral bonus program
- And much more
Salary : $92,800 - $139,200
