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Nurse Case Manager
2 months ago
VetJobs is seeking a skilled Medical Case Manager to join our team. As a Medical Case Manager, you will play a critical role in ensuring that injured employees receive appropriate medical care and return to work as soon as possible.
Key Responsibilities- Contact customers, medical providers, and injured parties to coordinate medical care and return to work.
- Develop strategies to facilitate an injured employee's return to work and achieve maximum medical improvement.
- Evaluate and update treatment and return to work plans within established protocols.
- Coordinate with medical providers to ensure injured employees are actively participating in a viable treatment plan.
- Evaluate medical treatment requests to ensure they are reasonable and necessary.
- Engage specialty resources as needed to achieve optimal resolution.
- Partner with Claim Professionals to provide medical information and disability status.
- Utilize internal Claim Platform Systems to manage all claim activities.
- Submit accurate billing documentation.
- Registered Nurse, Licensed Practical Nurse, or Licensed Vocational Nurse required.
- Disability case management experience preferred.
- Prior clinical experience preferred.
- Familiarity with URAC standards.
- Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Clinical Research Counselor (CRC), or Certified Rehab Registered Nurse (CRRN) preferred.
VetJobs offers a comprehensive compensation and benefits program, including performance-based cash incentive awards.