Registered Nurse I – Washington, DC
Location: Washington, DC
Employment Type: Temporary / Part-time (as-needed)
Rate: $52/hour
Position Overview:
The Registered Nurse provides medical case management for the Public Sector Workers' Compensation Program and Return-to-Work Program, including clinical assessment, care coordination, utilization review, medical documentation, and return-to-work planning.
Why You'll Love Working Here:
- Competitive rate of $52/hour providing specialized medical case management for workers' compensation and return-to-work programs.
- Temporary, part-time (as-needed) position.
- Part-time / as-needed schedule, Monday–Friday.
- No work on District holidays or administrative closure days without prior written approval.
- Valuable experience in a collaborative, supportive government office setting.
- Mission-driven work improving outcomes for injured workers through comprehensive medical case management and return-to-work planning.
Qualifications:
- Graduation from an accredited professional nursing program recognized by the applicable state accrediting authority.
- Current Registered Nurse license in the District of Columbia.
- At least one year of specialized professional nursing experience involving medical assessment, planning, implementation, utilization review, and evaluation of patient progress.
- Clinical experience in orthopedics, neurology, rehabilitation, or utilization review.
- Skilled in clinical assessment, medical case management, care planning, and utilization review.
- Knowledge of workers' compensation medical issues, healthcare regulations, return-to-work planning, and treatment review.
- Medical-record analysis, professional documentation, and case-status reporting.
- Proficiency with Microsoft Office and electronic medical or claims systems.
- Analytical, interpersonal, presentation, and written and verbal communication skills.
- Confidential information handling and privacy compliance.
Key Responsibilities:
- Provide comprehensive medical case management for public-sector workers' compensation and return-to-work programs.
- Assess injured workers' clinical status, treatment plans, functional abilities, and recovery progress.
- Develop, implement, monitor, and revise individual case management plans that support recovery and safe return to work.
- Coordinate care among injured workers, treating physicians, specialists, rehabilitation providers, employers, supervisors, claims examiners, and agency representatives.
- Review medical records, treatment plans, utilization requests, and supporting documentation for medical necessity, appropriateness, and workers' compensation compliance.
- Conduct utilization review, treatment-plan review, and medical-billing review.
- Identify claims appropriate for return-to-work initiatives and support transitional duty assignments and workplace accommodations.
- Establish return-to-work status, projected recovery timelines, maximum medical improvement targets, work restrictions, and functional capacity recommendations based on medical evidence and provider input.
- Monitor injured workers before and after return to work and communicate case status and treatment progress to stakeholders.
- Prepare medical status reports, case summaries, recommendations, and claim-support documentation.
- Provide consultation, guidance, and training on medical management, return-to-work strategies, injury prevention, and transitional duty.
- Present medical findings and professional recommendations during claim reviews, mediations, hearings, and other proceedings.
- Maintain complete case records and safeguard confidential medical and personnel information.
- Perform other related duties supporting the workers' compensation and return-to-work programs.