Currently seekingan RNfor 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 withinjuredworker, 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.
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