Medical Field Case Manager
2 weeks ago
The Medical Field Case Manager will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning.
Key Responsibilities:
- Demonstrate knowledge, skills, and competency in the application of case management standards of practice.
- Use advanced knowledge of types of injury, medications, comorbidities, treatment options, treatment alternatives, and knowledge of job duties to advise on a treatment plan.
- Interview disabled persons to assess overall recovery, including whether injuries or conditions are occupational or non-occupational.
- Collaborate with treating physicians/providers and utilize available resources to help create and implement treatment plans tailored to an individual patient.
- Work with employers and physicians to modify job duties where practical to facilitate early return to work.
- Evaluate and modify case goals based on injured/disabled person's improvement and treatment effectiveness.
- Independently manage workload, including prioritizing cases and deciding how best to manage cases effectively.
- Complete other duties, such as attend injured worker's appointments when appropriate, prepare status updates for submittal to customers, and other duties as assigned.
Qualifications:
- Active Registered Nurse (RN) license required.
- Must be in good standing.
- URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN or COHN, COHN-S, RN-BC, ACM, CMAC, CMC) preferred.
- Valid driver's license and auto insurance required.
- Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography.
- Must have reliable internet.
Benefits:
We're committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $70,600- $78,000 annually and includes eligibility to participate in a performance based bonus program.
Your compensation will be based on a number of additional factors including skills, experience, and education. The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
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