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Nurse Case Manager

2 months ago


Alpharetta GA USA, United States VetJobs Full time
Job Summary

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.
Requirements
  • Registered Nurse, Licensed Practical Nurse, or Licensed Vocational Nurse required.
  • Disability case management experience preferred.
  • Prior clinical experience preferred.
  • Familiarity with URAC standards.
Preferred Qualifications
  • Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Clinical Research Counselor (CRC), or Certified Rehab Registered Nurse (CRRN) preferred.
What We Offer

VetJobs offers a comprehensive compensation and benefits program, including performance-based cash incentive awards.