State of Connecticut Executive Branch

Nurse Consultant (Workers Compensation) (35 Hour) (0375HC)

$47.81-$64.14 Hourly / $3,346.06-$4,489.39 BiWeekly /
$87,332.00-$117,173.00 Yearly

PURPOSE OF JOB CLASS (NATURE OF WORK)

In the Office of the State Treasurer, Second Injury and Assurance Fund this class is responsible for managing, directing, implementing and monitoring programs involving medical cost containment and disability management relating to occupational injuries and loss control matters.

SUPERVISION RECEIVED

Works under the general supervision of a Supervising Nurse Consultant or other employee of higher grade.

SUPERVISION EXERCISED

May supervise/lead professional and clerical staff as assigned.

EXAMPLES OF DUTIES

  • Implements, coordinates, and evaluates activities of assigned programs or health care services;
  • Maintains active liaison with and serves as nursing consultant to other sections, divisions, health care providers and public;
  • Assesses safety and quality of client care provided;
  • Assesses compliance of health insurance companies with various state statutes, regulations and guidelines;
  • Reviews, audits, monitors and directs in areas of medical management, cost containment, peer review and rehabilitation;
  • Monitors agency and third party administrators and medical community to develop effective programs in medical management and loss control;
  • Analyzes medical and physician charges and renders decisions regarding rehabilitative planning for assigned cases;
  • Evaluates personal injuries in terms of physical disability and incurred costs as result of medical bills, wage replacement or vocational rehabilitation;
  • Develops cost effective plans to return injured workers to employment;
  • Identifies and evaluates factors within claimant home;
  • Work environment or medical care center that would promote recovery or give cause to unnecessary extended disability;
  • Develops plans of cost effective means of treatment and rehabilitation to return injured workers to maximum functioning capacities;
  • Coordinates efforts of physicians, employers, employees and rehabilitation counselors;
  • Monitors medical bill costs and evaluates need for billed services;
  • Monitors and assists in management of lifetime care of catastrophically injured claimant;
  • May inspect and evaluate health care and psychiatric facilities for compliance with state and federal regulations including licensure and certification laws;
  • Performs related duties as required.

KNOWLEDGE, SKILL AND ABILITY

  • Considerable knowledge of
    • State of Connecticut Workers Compensation statutes, rules and regulations;
    • care and service delivery to injured workers;
    • relevant state and federal laws, statutes and regulations;
    • principles and practices of nursing care administration and education for a variety of specialties with varied settings;
    • principles and practices pertinent to community processes;
  • Knowledge of
    • state, federal and local health agencies and programs;
    • nursing education and skill in techniques of teaching;
  • Considerable
    • interpersonal skills;
    • oral and written communication skills;
  • Ability to
    • plan, implement and evaluate programs;
    • collect and analyze data.

MINIMUM QUALIFICATIONS - GENERAL EXPERIENCE

Four (4) years of experience as a professional nurse in a position involving supervision, consultation, education, or administration in rehabilitative nursing with injured workers, including medical review of insurance claims.

NOTE: 
  • Administrative capacity is interpreted as having managerial responsibility in setting and implementing policies, carrying out program planning, and evaluating and coordinating special projects, etc. in the area specified in the appropriate parenthetical title.
  • Consultative capacity is interpreted as the providing of professional expert nursing advice to other than subordinate staff on major programmatic issues in the area specified in the appropriate parenthetical title.
  • Educational capacity is interpreted as experience in a full time professional educational position instructing professional nurses in a formalized program or teaching students in an undergraduate or graduate nursing program in the area specified in the appropriate parenthetical title.
  • Supervisory capacity is interpreted as having administrative supervision of registered nurses or other professional staff. 

MINIMUM QUALIFICATIONS - SUBSTITUTIONS ALLOWED

  • A Bachelor's degree in nursing may be substituted for one (1) year of the General Experience.
  • A Master's degree in health services administration, nursing or public health may be substituted for one (1) additional year of the General Experience.

SPECIAL REQUIREMENTS

  • Incumbents in this class must possess and retain a current license as a registered professional nurse in Connecticut.
  • Incumbents in this class may be required to possess certification as an Insurance Rehabilitation Specialist or be eligible for certification as an Insurance Rehabilitation Specialist.
  • Incumbents in this class may be required to travel.
  • Incumbents in this class may be required to possess and retain a valid Motor Vehicle Operator’s license.

JOB CLASS DESIGNATION

Classified/Non-Examined

OCCUPATIONAL GROUP

(22)-Nursing

BARGAINING UNIT

(11)-HEALTH PROF (P-1)

EEO

(2)-Professional

SALARY INFORMATION

HC 28

ACKNOWLEDGEMENT

As defined by Sec. 5-196 of the Connecticut General Statutes, a job class is a position or group of positions that share general characteristics and are categorized under a single title for administrative purposes.  As such, a job class is not meant to be all-inclusive of every task and/or responsibility.

CANCELLATION CLAUSE

This replaces the existing specification for the class of Nurse Consultant (Workers Compensation) in Salary Group HC 28 approved effective October 17, 2022. (Revised to modernize format and add Acknowledgement section) Final No. 23-089

EFFECTIVE DATE

05/01/2023
CLASS: 0375HC; EST: 1/21/1983; REV: 5/4/2023;