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 injuriesmonitoring of prescribed medicationscollaborating with medical provider and claims team to identify and coordinate appropriate diagnostic services and specialist provider referralsmonitoring/or clarification of provider documentationidentifying the best vendor sources for medical supplies and other clinical services that provide the best outcome and value