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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