Our client is currently seeking a RN Field Case Manager
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
•Assesses and analyzes injured worker's medical and vocational status.
•Develops progressive plan of care to facilitate medical recovery and progressive return to work.
•Manages one-time task assignment or full field case management referral to meet with attending physician, injured worker and/or employer in person to clarify medical and/or vocational claim related information which could not be obtained through correspondence or telephonic attempts by claims team.
•Collaborates with members of the health care team to provide ongoing case management services.
•Acts as liaison for involved parties in the worker's compensation injury by communicating in person and telephonically with the patient/caregiver, attorneys, employer, claims examiners, telephonic nurse case manager, return to work specialists, vocational rehabilitation supervisor, provider(s), ancillary provider(s) and health care team.
•Monitors injured employee's progress towards appropriately established outcomes through continued assessment and evaluation.
•Coordinates necessary referrals, consultations, and therapeutic services for the injured employee.
•Completes the interview process with the patient/caregiver in the home, worksite, ancillary location or physician's office for current and ongoing assessments and evaluations.
•Assists in the development of continued care plans as necessary to include patient education and prevention programs.
•Testifies as needed to substantiate relevant case work or reports.
•Confers with medical treating providers concerning the course of care and treatment per clinical guidelines.
•Educates medical providers on appropriate disability and treatment guidelines as necessary.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
•Performs other duties as assigned.
•Supports the organization's quality program(s).
•Travels as required - this position is 70% travel.
Education & Licensing
Current state RN licensure required. Bachelor's degree from an accredited college or university preferred. CCM, CRRN, COHN, CDMS eligibility or current certification preferred. Three years of home health, occupational health or nursing case management experience preferred but not required. We will train nurses with a minimum of 6 years of clinical experience to include 3 years of experience in a hospital setting.
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- Case Management
- Claim Processing
- Clinical Works