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Questions or ready to apply? Email us at hrdept@pdimcs.com.

THE WHY

Restoring people back to work and back to life. – PDI Vision

The role of the PDI Nurse Case Manager is critical to the Why, Impact, and Vision. Reporting to and partnering with the Clinical Manager, the Nurse Case Manager will INSPIRE all to see and feel the PDI Vision by building a rapport with our injured workers, employers, claims experts, and medical community; creating a clear path to the opportunity of health, hope, and their ability to return to work and life. Nurse Case Managers provide support and bring calm to chaos using their deep experience as guiding clinicians, ensuring that everyone involved recognizes the real-life challenges that our injured workers face in their journey to health. The Nurse Case Manager will be an experienced and seasoned clinician in workers compensation. Because of the heart felt for those we serve; the Nurse Case Manager moves the Injured worker through the challenges and the barriers of returning to health and work.

THE HOW

Mission

Advocating for the best medical care through appropriate and timely treatment of injury or illness so that employers and employees together can thrive.

Values

  • Integrity – We are principled, honest, and ethical, and we do the right thing for those we serve.

  • Compassion – When it comes to healthcare, there might be no greater act of service than that of kindness and empathy.

  • Trust – We keep the promises we make.

  • Excellence – We perform at the highest level, always learning and looking for ways to improve.

  • Accountability – We accept responsibility for our actions, attitudes, and health.

  • Innovation – It’s imperative that we remain flexible, forward-thinking and fearless when it comes to remaining open to new ways of doing things.

  • Mutual Respect – We embrace diversity and treat one another with dignity and care.

THE HOW – PDI Team Members

Examples of Actions, Behaviors, Qualities & Skills important to the individual and the organization.

Communication
Knows with whom, how, when, and what to communicate. Communication is flavored with grace, respect, and humility. Listens well and willingly receives and applies feedback.

Relationships
Sincere and intentional in communication and interactions. Partners to develop and build appropriate and meaningful connections.

Self-Development
Works to achieve personal and professional goals by seeking opportunities to increase knowledge, experience, responsibility, and impact.

Teamwork
Successfully communicates and collaborates with team members to achieve common goals. Is respectful and encourages other perspectives and ideas.

Integrity and Character
Honest, accountable, maintains confidentiality, above reproach, assumes the best, positive attitude, transparent.

Interpersonal Skills
Builds strong relationships, is flexible/adaptable, works well with others, solicits feedback.

Job Knowledge
Understands facets of job, aware of duties and responsibilities, keeps job knowledge and skills current.

Organization Skills
Information organized and accessible, maintains efficient workspace, manages time well.

Problem-Solving
Strives to understand contributing factors, works to resolve complex situations. Demonstrates critical thinking. Brings solutions to the table.

THE HOW – PDI Leadership

Examples of Actions, Behaviors, Qualities & Skills important to the individual leader and the organization.

Develops People
Invests in people, coaches and mentors, visibly looks out for team members, serves as an advocate, and helps to position others to be successful.

Delegates & Empowers
Accepts assignments that stretch capabilities.

Builds Teams
Works with team in a collaborative manner, works toward shared goals, resolves conflicts, and gets results. Relates well with others to bring out the best in people.

Keeps People Informed
Plans ahead.

Resolves Conflict
Seeks to understand other points of view.

Communication & Change
Maintains an environment of open and honest communication. Speaks up, shares ideas, and encourages others to do the same - fostering healthy dialogue.

Creates a Positive Environment
Creates an environment that motivates, encourages, and recognizes initiative. Creates rewarding experiences for others.

Connects to Big Picture
Stays on track and doesn’t lose perspective.  Brings calm to chaos.

THE WHAT

In support of our “Why”, the Nurse Case Manager contributes toward these broader Strategic Initiatives by bringing integrity and excellence to: (1) Knowing, learning, keeping and improving our standard of practice within the role of Nurse Case Manager; (2) Maintaining and growing credentials; (3) Building strategic customer relationships with our injured workers, employers, claims experts, and medical community so that we are their chosen valued partner; (4) Providing PDI with insights and offering creative new business service offerings based on existing and future customer needs; and (5) Expanding knowledge in medical case management and workers compensation by participating in industry events and growing as a resource and known person of influence.

Leadership Role

PDI believes all individuals are leaders. Below are examples of how a PDI Nurse Case Manager will lead:

  • Enhancing a positive experience for our clients, injured workers, and the medical community while protecting the PDI brand, promise, and the “we mentality”

  • Setting the standard in all interactions for understanding the employer and employee with regard to the injury and the impact/loss to each if the injured worker is not restored back to work and back to life

  • Working together as team members with the goal of bringing excellence to PDI’s customers and to the injured worker’s experience

  • Influencing and inspiring the connection of PDI Values, our Why, and How with the approaches taken to communicate and serve with excellence our customers, injured workers, and internal team members

  • Being engaged with and providing insight to team members during the staffing of a file, Team Meetings, and other opportunities to achieve more as a thriving team than one individual could ever accomplish on their own

  • Consistently representing the organization with integrity through actions, words, and behavior that supports and aligns with our Vision, Mission, and Values.

Day to Day Responsibilities

  • Serve as advocates for their clients with positive action

  • Keep commitments and promises

  • Encourage means for improving health, wellness, and autonomy through advocacy

  • Communicate, coordinate, manage, monitor, and evaluate the options and services required to meet the injured worker’s health needs

  • Provide patient education to encourage informed decisions, thereby supporting independent decision-making.

  • Interact with injured workers to engage in treatment plan, recovery, and return to work

  • Assess for barriers to recovery, including addressing motivational and psychosocial issues

  • Adhere to professional standards

  • Develop effective working relations and cooperate with medical providers throughout the case management experience

  • Collect in-depth information about an injured worker’s injury and capabilities to identify needs and develop a case management plan that will address those needs

  • Execute and document specific case management activities and/or interventions that will lead to accomplishing goals set forth in the case management plan

  • Develop case management plan that is action oriented and time specific

  • Be honest and give full disclosure; abstain from misrepresentations or deceit

  • Enter documentation into Ahshay!/Reports and record accurate, honest, and unbiased results of case management activity

  • Maintain objectivity and do not impose personal values onto the injured workers

  • Provide notification of discontinuation of case management services to all relevant parties with documentation into Ahshay! and closure report

  • Provide feedback on existing business development collateral to buyer types and customer segments (print/digital) when requested

  • Generate new business leads (conferences, associations, networking, free CE training, etc.)

  • Promote our brand at trade shows and major industry-related events

  • Maintain detailed knowledge of all service offerings so that client questions can be answered and needs met by the Nurse Case Manager

  • Share contact/prospective client/lead information; document interactions and information

  • When requested, assist Business Development in converting warm leads into prospects (qualifying leads from a conference attended, other adjusters on current account or others

  • Success equals INSPIRING all to see and feel the PDI Mission and helping to bring the PDI Vision to life by “Restoring people back to work and back to life”.

  • Share contact/prospective/client/lead information, document interactions and information

  • When requested, assist Business Development in converting warm leads into prospects (qualifying leads from a conference attended, other adjusters on current account or others)

  • Perform other duties as assigned

Key Relationships

Reports to: Clinical Manager

Direct Reports: None

Internal Partnerships: VP of Sales & Marketing, Clinical Services Director and PDI Administrative Staff

External Partnerships: Medical Community Centers of Excellence

Qualifications & Requirements

  • Graduate of accredited School of Nursing

  • Valid state of residence Registered Nurse License in good standing

  • 1+ years’ experience in Nurse Case Management, Workers Compensation

  • Valid driver’s license in state of residence

  • Valid Certified Case Manager

  • Strong buy-in and passion for the “Why” of PDI

  • Proven past accomplishment and a passionate commitment to press in and ever be growing in the skills of “How” PDI realizes the “Why”

  • Strong clinical background in orthopedics, neurology, or rehabilitation preferred

  • Flexible and able to multi-task; can work within an ambiguous, fast-moving environment, while also driving toward clarity and solutions; demonstrated resourcefulness in setting priorities and guiding resource allocation

  • Strong analytical skills and problem-solving abilities with great attention to detail

  • Strong written and ve rbal communication and presentation skills

  • Computer proficiency (Email, Word and Excel skills) within a PC Environment

  • Must pass a pre-employment reference and background screen

  • Proof of legal authorization to work in the United States

Physical Demands & Work Environment

  • The team member is regularly required to sit; use hands to finger, handle, feel, work keys and locks, and talk and hear. The team member is occasionally required to reach with hands and arms. The team member is occasionally required to stand, walk, climb or balance and stoop, kneel, crouch, or crawl. The team member must occasionally lift and/or move up to 25 pounds.

  • The team member is regularly in a typical office environment with adequate light and moderate noise levels and regularly travels locally by car to meet with customers, injured workers, and providers as needed. Team member to public interaction in person, over the telephone, and/or via computer is high.

Disclosure

The above statements, organizational lens and individual connection are intended to describe the nature and level of work being performed within this role.  They are not intended to be an exhaustive list of all responsibilities, duties, and tasks or opportunities that a proactive approach will certainly bring to light.  Other similar or additional duties are to be performed as assigned.  Nor are the above statements, organizational lens and individual connection intended, in any way, to be an employment contract.  Your employment continues to be at-will.  You or PDI may end employment at any time for any reason.

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Nurse Case Manager Series Part 1

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