Senior Nurse Analyst - Medical Services

Job Summary

We are looking for a compassionate, experienced, self-motivated Registered Nurse to join our team. The Sr. Nurse Analyst provides clinical case management and operational support across Medical Services, including medical qualification, fitness-for-duty, post-offer and regulatory examinations, return-to-work, and on-duty and off-duty injury and illness cases.

This role applies clinical judgment to review medical information, coordinate appropriate follow-up, support timely case resolution, and partner with employees, healthcare providers, Human Resources, Labor Relations, Legal, Operations, and other stakeholders. The Sr. Nurse Analyst also supports workload coverage, regulatory compliance, process improvement, and the safe and timely return of employees to productive service.

Primary Activities and Responsibilities

• Review medical documentation and evaluate medical qualifications for new hires, job transfers, certification examinations, return-to-work cases, and other assigned employee medical cases.

• Review post-offer, regulatory, fitness-for-duty, and return-to-work examinations within established guidelines and assigned authority.

• Apply clinical judgment to identify additional medical information or clarification needed from employees and healthcare providers to support medical qualification and work-status determinations.

• Coordinate and manage follow-up with employees, healthcare providers, Human Resources, Labor Relations, Operations, and other stakeholders to facilitate timely case resolution.

• Support return-to-work processes for employees following personal illness, injury, or other medical absence.

• Support the review and management of on-duty and off-duty injury and illness cases, including medical documentation, work status, restrictions, and appropriate follow-up.

• Partner with the Legal Department and other internal stakeholders to research and provide relevant medical facts and documentation related to employment matters, including medical qualification and other claims.

• Coordinate the scheduling, processing, and follow-up of medical examinations in partnership with Human Resources, Labor Relations, Operations, employees, and healthcare providers.

• Support Federal Railroad Administration (FRA), Department of Transportation (DOT), Commercial Driver’s License (CDL), and other applicable regulatory medical requirements.

• Maintain accurate and timely case documentation and protect confidential employee medical information and data in accordance with applicable requirements and company practices.

• Identify opportunities to improve medical-related process workflows, case management, employee experience, quality, and operational efficiency.

• Provide cross-functional coverage across team during workload fluctuations, staffing absences, special assignments, and periods of increased business demand.

• Participate in rotating on-call responsibilities and provide support outside standard business hours as required.

• Perform other duties and responsibilities as assigned

Minimum Qualifications

• Bachelor’s Degree in Nursing from a regionally accredited college or university.

• Current Registered Nurse (RN) license in good standing.

• Five (5) or more years of professional nursing or clinical case management experience.

• Experience reviewing medical documentation and coordinating care, work status, or return-to-work activities.

Preferred Qualifications

• Master’s Degree in Nursing, Healthcare Administration, Occupational Health, or a related field.

• Seven (7) or more years of nursing, occupational health, case management, employee health, disability, or related clinical experience.

• Experience in occupational health, transportation, railroad, industrial, or other safety-sensitive work environments.

• Experience supporting fitness-for-duty, return-to-work, medical qualification, or regulatory medical examination processes.

• Case management or occupational health certification, such as CCM, COHN, or COHN-S.

Knowledge and Skills

• Strong clinical assessment and critical-thinking skills with the ability to interpret medical information and apply established medical and regulatory guidelines.

• Knowledge of Federal Railroad Administration (FRA) requirements applicable to safety-sensitive employees.

• Knowledge of FRA conductor and locomotive engineer certification requirements.

• Knowledge of Department of Transportation (DOT) and Commercial Driver’s License (CDL) medical requirements.

• Understanding of occupational health, fitness-for-duty, return-to-work, injury management, and employee medical qualification principles.

• Ability to understand and apply company policies, labor agreements, regulatory requirements, and established CSX medical-related procedures.

• Strong case-management, organizational, prioritization, and follow-up skills.

• Ability to manage multiple complex cases and priorities in a fast-paced environment.

• Strong analytical and problem-solving skills with the ability to identify trends, issues, and opportunities for process improvement.

• Excellent written and verbal communication skills and the ability to communicate effectively with employees, healthcare providers, Operations, Human Resources, Labor Relations, Legal, and other stakeholders.

• Strong customer-service orientation with the ability to balance employee experience, clinical considerations, regulatory requirements, and business needs.

• Ability to exercise sound judgment and maintain a high degree of professionalism, discretion, and confidentiality when handling sensitive medical information.

• Proficiency with Microsoft Word, Excel, PowerPoint, and applicable case-management or medical-record systems.

• Ability to work independently while collaborating effectively across a multidisciplinary team.

Job Requirements

• This position is based in Jacksonville, Florida, and requires in-person, on-site work.

• Must maintain an active RN license in good standing.

• Ability to participate in rotating on-call coverage and work outside normal business hours when required.

• Ability to respond to changing operational priorities and workload demands.