Nurse Case Manager
2 weeks ago
This organization is seeking qualified Nurse Case Managers to join their compassionate team and help make a positive difference in an injured person's life. As a Field Case Manager, you 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. In this role, you will:
- 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.
- Education: Associates Degree or Bachelor's Degree in Nursing or related field.
- Experience: 2+ years clinical practice preferred. Workers' compensation-related experience preferred.
- Skills: Ability to advocate recommendations effectively with physicians/providers, employers, and customers. Ability to work independently. Knowledge of basic computer skills including Excel, Word, and Outlook Email. Proficient grammar, sentence structure, and written communication skills.
- Certifications, Licenses, Registrations:
- 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, but can obtain post hire).
- Travel: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography.
- Internet: Must have reliable internet.
- Transportation: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography.
Benefits
Benefit 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. In addition to the base salary, you will be eligible to participate in a productivity-based bonus program. Total compensation, including base pay and potential bonus, will be based on a number of factors including skills, experience, education, and performance metrics.
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