Required:
Minimum of 3 years nursing experience, extensive knowledge of Medicare guidelines, the Secondary Payer Statute, and Medicare Set-Aside Allocations. Experience in case management of Workers' Compensation and/or Disability Management cases. Medicare Set-Aside Consultant - Certified (MSCC) & Certified Case Manager (CCM) required.

Preferred:
Certified Legal Nurse Consultant (CLNC), Certified Rehabilitation Registered Nurse (CRRN), or Certified Life Care Planner (CLCP) preferred.

Essential Job Functions:

• Knowledge of Medicare guidelines and the Medicare Secondary Payer Statute
• Ability to review medical, claims and legal records and provide a concise written report in which past medical care, current medical status and anticipated future medical care are depicted in both Microsoft Word and Microsoft Excel format
• Ensure quality, medical soundness, accuracy and the timely delivery of Medicare Set-Aside Allocations and Medical Cost Projections
• Assist the Allocation Services Manager with processing of Life Care Plans that have been completed by a Certified Life Care Planner (CLCP)
• Provide changes/updates to the MSA document/process as indicated within Medicare guidelines and industry standards to provide our clients with the finest MSA product available
• Ability to communicate effectively both verbally and in writing with claims professionals, brokers, attorneys and other referral sources as well as Medivest management and team members
• Ability to communicate with the Director of Operations regarding any issues involved in preparation of Medicare Set-Aside Allocations, Medical Cost Projections and Life Care Plans
• Ability to create documents and templates for the purpose of training, evaluation and improving MSA products
• Ability to adapt to changes in the job description and the MSA process