Description

Telephonic Nurse Case Manager (RN) for our Case Management Team. This role includes assessing, planning, implementing, coordinating, and evaluation of service options. The goal of the Case Manager is to assist the injured worker in receiving appropriate, cost-effective medical care for their injury in a timely manner, and to expedite their return to work.

Position Logistics

Monday – Friday, 8:30am - 5:30pm local time, full-time remote.

NOTE: Requires a Compact RN license in good standing. Workers’ Compensation experience is preferred but not required.

Wage is based on experience, education, certifications and location (may be either hourly or salary based on individual state requirements).

Benefits & Perks

• Base pay $35-42/hr ($72,800 - $87,360 annually). Wage is based on experience, education, certifications and location (may be either hourly or salary based on individual state requirements).
• Medical, Dental and Vision Insurance
• 401K
• Paid Time Off
• Paid holidays
• Equipment is provided
• Monthly internet stipend

Responsibilities

• 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
• 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)