Telephonic Nurse Case Manager
As a Telephonic Nurse Case Manager, you will assess, plan, coordinate, monitor, evaluate and implement options and services to facilitate timely medical care and return to work outcomes of injured workers.
- Coordinate and implement medical case management to facilitate case closure
- Timely and comprehensive communication with employers, adjusters and the injured workers.
- Assess appropriate utilization of medical treatment and services available through contact with physicians and other specialists to ensure cost effective quality care
- Review and analyze medical records and assess data to ensure appropriate case management process occurs while providing recommendations to achieve case progress and movement to closure
- Responsible for assigned caseloads, which may vary in numbers, territory and/or by state jurisdiction
- Acquire and maintain nursing licensure for all jurisdictions as business needs require
- Coordinate services to include home services, durable medical equipment, IMEs, admissions, discharges, and vocational services when appropriate and evaluate cost effectiveness and quality of services
- Document activities and case progress using appropriate methods and tools following best practices for quality improvement
- Reviewing job analysis/job description with all providers to coordinate and implement disability case management. This includes coordinating job analysis with employer to facilitate return to work.
- Engage and participate in special projects as assigned by case management leadership team
- Occasionally attend on site meetings and professional programs
- Foster a teamwork environment
- Maintaining and updating evidence based medical guidelines in reference to the injured worker treatment plan and work status.
- Obtain and maintain applicable state certifications and/or licensures in the state where job duties are performed.
- Obtain case management professional certification (CCM) within 2 years of hire date
- Earn Continuing Education Units to maintain certifications and licensures
Education
- Graduate of an accredited school of nursing and possess a current RN license.
- RN California license strongly preferred, CCM preferred, Bachelor of Nursing preferred
The company offers a competitive compensation plan and robust benefits package for full time regular employees. Base Salary Range: $75,000 - $88,000. Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
Domestic U.S. travel required (up to 10% of time)
Sponsorship not Offered for this Role