Part-Time Workers Compensation Telephonic Nurse Case Manager
Job Description:
- Assess, plan, coordinate, monitor, evaluate and implement options and services for injured workers’ timely medical care and return-to-work outcomes
- Coordinate and implement medical case management to facilitate case closure
- Communicate with employers, adjusters and injured workers
- Assess utilization of medical treatment and services through contact with physicians and other specialists
- Review and analyze medical records and assess data
- Provide recommendations to achieve case progress and movement to closure
- Manage assigned caseloads across varying numbers, territories and state jurisdictions
- Coordinate home services, durable medical equipment, IMEs, admissions, discharges and vocational services
- Document activities and case progress using appropriate methods and tools
- Review job analyses and job descriptions with providers and employers to facilitate return to work
- Participate in special projects assigned by case management leadership
- Occasionally attend onsite meetings and professional programs
- Maintain and update evidence-based medical guidelines
- Foster a teamwork environment
Requirements:
- Minimum 4 years of medical/surgical clinical experience required
- Minimum 2 years of experience in workers compensation insurance and medical case management preferred
- Graduate of an accredited school of nursing
- Possess a current RN license
- Ability to work Pacific Standard Time business hours
- California RN license greatly preferred
- Working knowledge of medical and vocational resources available to the Workers’ Compensation industry
- Computer and technology skills
- Ability to perform case management duties independently
- Strong communication skills, professionalism, flexibility and adaptability
- Obtain and maintain nursing licensure for all jurisdictions as business needs require
- Obtain and maintain applicable state certifications and/or licensures in the state where job duties are performed
- Obtain case management professional certification (CCM) within 2 years of hire date
- Oral and written fluency in both Spanish and English a plus
- Domestic U.S. travel required (up to 10% of time)
- Sponsorship not Offered for this Role
Benefits:
- Health
- Dental
- Vision
- Life
- Disability
- Wellness
- Paid Time Off
- 401(k)
- Profit-Sharing plans
- Competitive compensation plan
- Continuing Education Units to maintain certifications and licensures
