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Registered Nurse (RN) -Workers Compensation Case Manager

Nurse Resolutions Fremont Full-Time
$90,000.00 - $110,000.00 / year
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Currently seeking an RN for a Case Manager role in the Fremont, CA area. The ideal candidate will possess a current unrestricted CA RN license with Case Management experience in worker’s compensation.

 

Responsibilities of the RN Case Manager - Workers Compensation

·         Research and recommend resources and creates flexible, cost-effective options for catastrophically or chronically ill or injured individuals on a case-by-case basis to facilitate quality individualized treatment goals, including timely return to work if appropriate.

  • Contact customer, medical provider and injured parties on claims involving medical treatment and /or disability to coordinate appropriate medical care and return to work.
  • Evaluate and update treatment and return to work plans within established protocols throughout the life of the claim.
  • Evaluate medical treatment requests to ensure that they are reasonable and necessary based upon jurisdictional guidelines.
  • Works closely with injured worker, Claims Adjusters, employers, and medical providers to ensure best possible medical care is received for the Worker Compensation injury.
  • Partner with Claim Professional to provide input on medical treatment and recovery time to assist in evaluating appropriate claim reserves.
  • Submit accurate billing documentation on all activities as outlined in established guidelines.
  • Perform other duties assigned.

Registered Nurse License

Prevous Workers Compensation Case Management experience.

Skills required

Electronic Medical Record
Disease Management
Hospitalization
Psychology
Long Term Care
Registered Nurse
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Nurse Resolutions is a specialized recruiting and staffing firm with a focus of placing nurse, social work and other healthcare professionals into temporary, contract and permanent positions nationwide. The companies we partner with include hospitals, managed care organizations, insurance providers, medical management groups, third-party administrators, home health organizations, long term care facilities, pharmacies, outpatient clinics, healthcare consulting companies, medical supply organizations and many other types of companies. We recognize that a company’s success is strongly correlated with the talent that it attracts. Our firm utilizes a unique platform, combining proactive and passive recruiting methods with proven success to create value for client and candidate every time. Our recruiting strategies save time and effort while consistently ensuring highly-skilled professionals to the companies we partner with.



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