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SUMMARY   The Senior Nurse Case Manager (SNCM) role within the Claims Department is to assist management and the claims team in supporting strategic initiatives and achieving annual claims goals. This position is responsible for applying medical knowledge in reviewing complex workers’ compensation claims to determine causal nature of patient’s symptoms, medical necessity/reasonableness of treatment, facilitate claimants’ return to work (RTW) and propose alternative care arrangements.  SNCM assists in development of new medical cost containment programs and projects as well as taking a leadership role in the implementation and ongoing support of these initiatives. The SNCM utilizes competence, positive communication skills, problem solving and conflict resolution techniques. The SNCM demonstrates strong organization and time management skills with the ability to affect change when necessary. This role may execute their essential functions telephonically or as a Field NCM...