Telephonic Case Manager, RN
Job Description:
• Assessing, planning, implementing, coordinating, and evaluation of service options
• Communicate with medical providers, employers and with injured workers
• Perform a complete nursing evaluation to determine needs of patient
• Review and evaluate all medical correspondence, provider reports, & treatment plan history
• Evaluate clinical status of claimant and research for alternative options to treatment as warranted
• Communicate with the claims examiners regarding directives, and provide updates on file status
• Arranging transportation services when necessary and authorized
• Evaluating therapy facilities and their progress on specific cases
• Prepare comprehensive notes following any discussions had with injured worker, medical providers, claims examiners, and employers in the case file
• Discuss the analyzed data and the comprehensive plan of care with the insurance representative prior to implementation
• Upon authorization, implement this plan of care with patient, physician and health care providers
• Arrange for care/services as needed (home care, procedures, medication, equipment or supplies)
• Monitor the plan of care with modifications or changes suggested to the patient and physician as the need arises
• Coordinate information between all parties (injured worker, physicians, employer, other providers, such as therapists, and attorney, if any is involved)
Requirements:
• CA RN license in good standing
• Graduate of an accredited school of nursing
• 3-5 years clinical experience as an RN outside of school
• Workers Compensation Case Management experience
• Valid state approved RN license in good standing
• Bilingual in Spanish
• Experience in Case Management, Workers' Compensation experience preferred
• Experience in Home Health Care, Occupational Health considered a plus
• Excellent Written and Oral Communication Skills
• Excellent Interpersonal & Organizational Skills
• High comfort level with computers and computer programs (MS Word, MS Excel, Email)
Benefits:
• 401K
• Equipment is provided
• Monthly internet stipend
Apply Now
Apply Now
• Assessing, planning, implementing, coordinating, and evaluation of service options
• Communicate with medical providers, employers and with injured workers
• Perform a complete nursing evaluation to determine needs of patient
• Review and evaluate all medical correspondence, provider reports, & treatment plan history
• Evaluate clinical status of claimant and research for alternative options to treatment as warranted
• Communicate with the claims examiners regarding directives, and provide updates on file status
• Arranging transportation services when necessary and authorized
• Evaluating therapy facilities and their progress on specific cases
• Prepare comprehensive notes following any discussions had with injured worker, medical providers, claims examiners, and employers in the case file
• Discuss the analyzed data and the comprehensive plan of care with the insurance representative prior to implementation
• Upon authorization, implement this plan of care with patient, physician and health care providers
• Arrange for care/services as needed (home care, procedures, medication, equipment or supplies)
• Monitor the plan of care with modifications or changes suggested to the patient and physician as the need arises
• Coordinate information between all parties (injured worker, physicians, employer, other providers, such as therapists, and attorney, if any is involved)
Requirements:
• CA RN license in good standing
• Graduate of an accredited school of nursing
• 3-5 years clinical experience as an RN outside of school
• Workers Compensation Case Management experience
• Valid state approved RN license in good standing
• Bilingual in Spanish
• Experience in Case Management, Workers' Compensation experience preferred
• Experience in Home Health Care, Occupational Health considered a plus
• Excellent Written and Oral Communication Skills
• Excellent Interpersonal & Organizational Skills
• High comfort level with computers and computer programs (MS Word, MS Excel, Email)
Benefits:
• 401K
• Equipment is provided
• Monthly internet stipend
Apply Now
Apply Now