Telephonic Case Manager, RN

🌍 Remote, USA 🎯 Full-time 🕐 Posted Recently

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)

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)