Occupational Health - Clinical & Leave Management Nurse

Primary Purpose of Position

The Occupational Health, Clinical & Leave Management Nurse provides occupational health clinical services, medical surveillance activities, disability and leave case management, accommodation support, and employee health consultation services in accordance with applicable regulatory requirements, medical governance standards, and company policies. The nurse is expected to perform duties across the full scope of occupational health services and may provide onsite, remote, or hybrid support based on operational needs. While nurses will generally be designated as onsite or hybrid, assignments may vary to ensure continuity of services, workforce health, regulatory compliance, and business operations. Works under general supervision reporting to an OHS Manager. Periodic travel (15% to 20%) may be required to support training, conferences, company meetings, outages, cross-coverage assignments, and other operational needs.

Primary Duties and Accountabilities

• Perform occupational health examinations, medical surveillance activities, and diagnostic testing in accordance with applicable federal, state, and company requirements, including standards established by the Nuclear Regulatory Commission (NRC), Occupational Safety and Health Administration (OSHA), Department of Transportation (DOT), and other applicable regulatory agencies.
• Accurately document clinical assessments, examination results, testing outcomes, interventions, and administrative activities in designated systems to support medical surveillance programs, regulatory compliance, and reporting requirements.
• Identify and appropriately manage medical findings requiring follow-up, including adherence to established notification, escalation, and reporting processes.
• Coordinate care and follow-up activities with employees, healthcare providers, specialists, Medical Review Officers (MROs), and other stakeholders as appropriate.
• Provide clinical triage services during business hours and after-hours telephonic coverage for urgent or critical matters by assessing symptoms, determining the appropriate level of care, and directing employees to appropriate internal or external healthcare resources.
• Deliver nursing assessment, first aid, and other appropriate clinical interventions in accordance with established clinical protocols, standing orders, and regulatory requirements.
• Provide consultation, education, and referral to appropriate resources, including healthcare providers, behavioral health professionals, Employee Assistance Program (EAP) services, and other support programs to address employee health and well-being needs.
• Serve as the clinical case manager for disability, FMLA, ADA, and other health-related leave cases by applying evidence-based nursing judgment to support employee recovery, workplace accommodation, and return-to-work transitions while ensuring compliance with regulatory and company requirements.
• Review, analyze, and interpret medical documentation to assess functional capacity, identify workplace restrictions, and support fitness-for-duty determinations, including accommodation and transitional work recommendations in consultation with designated medical review personnel (e.g., MRO, Access, DOT FFD).
• Collaborate with Human Resources, leadership, and business partners to identify, implement, monitor, and evaluate restricted-duty, modified-duty, and accommodation plans.
• Provide comprehensive case management for short-term, long-term, and complex employee health cases, including monitoring recovery progress, coordinating medical recommendations, facilitating required medical reviews, identifying return-to-work barriers, and escalating concerns as appropriate.
• Maintain accurate and timely case management documentation, including case status, communications, medical information, recovery milestones, provider recommendations, and return-to-work plans in designated occupational health and leave management systems.
• Coordinate case management activities and required documentation with employees, healthcare providers, Human Resources, Legal, leadership, and other stakeholders to ensure timely and consistent case resolution.
• Ensure compliance, in collaboration with Legal counsel when applicable, with OSHA, NRC, HIPAA, ADA, FMLA, state workers' compensation laws, and internal clinical governance standards.
• Interpret fitness for duty determinations and surveillance results and report required medical information to the Nuclear Regulatory Commission.
• Support immunization programs, medical monitoring, and health surveillance activities as required.
• Maintain regulatory readiness through accurate documentation and adherence to established medical standards.
• Monitor program practices to ensure consistency with Constellation standards and industry best practices
• Provide health education and preventive guidance to reduce workplace injury and illness risk.
• Collaborate with Safety, HR, and Site Leadership to support site-based wellness initiatives and prevention programs.
• Provide cross-functional and cross-location support for clinical services, medical surveillance programs, disability and leave management activities, accommodations administration, and occupational health operations as assigned.
• Support updating and/or streamlining software, vendors or administrative processes related to clinical care or leave management, as assigned
• Support outage activities and operational needs, including extended hours or travel as assigned.

Minimum Qualifications

• Registered nurse with 6-years nursing experience
• Ability to work, seek advice, and develop solutions in a team environment.
• Strong problem solving skills with the ability to deliver practical solutions through collaboration
• Highly organized and able to maintain detailed and accurate documentation
• Ability to work independently and handle multiple tasks accurately
• General knowledge and understanding of disability management, occupational health, and case management principles, with the ability to apply applicable federal, state, and nuclear regulatory requirements in the performance of assigned duties.
• Knowledge and skill to perform physical assessments, medical examinations, regulatory medical evaluations, and screening test data.
• Ability to obtain multi-state licensure as required to support operational needs.