Telephonic Case Manager, RN – Compact License
Job Description:
- 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:
- Graduate of an accredited school of nursing
- 3-5 years clinical experience as an RN outside of school
- Valid Compact RN license in good standing with no restrictions
- Valid state-appropriate RN license in good standing with no restrictions
- May be required to obtain CA RN License
- Possesses and can demonstrate the professional and technical skills of a Registered Nurse
- Experience in Case Management, Workers' Compensation experience preferred, but not required
- 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:
- Medical, Dental and Vision Insurance
- 401K
- Paid Time Off
- Paid holidays
- Equipment is provided
- Monthly internet stipend
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