GROWING, NATIONAL WORK COMP CASE MANAGEMENT COMPANY IS SEEKING A FULL-TIME, HYBRID - FIELD /TELEPHONIC WC CASE MANAGER.

-Medical Case Management Experience in Work Comp required
-Ability to travel easily with own vehicle
-Professional relationship with local providers and facilities
-RN, CCM or CRC preferred
-Excellent writing and communication skills
-Desire to join a family-type environment and work as a team
Benefits Include:
-401K
-Health Insurance

Required Qualifications:

• Active RN license. Additionally, CCM preferred.
• Multiple state licensure (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses. (Fees paid by Company).
• Minimum of five (5) years’ experience in case management in a worker’s comp environment.
• Minimum of three years clinical experience preferably in neuro, ortho and/or rehab. Home Health experience is beneficial.
• Bilingual (Spanish) is preferred but not necessary.
• Experience applying evidence based clinical guidelines to casework.
• Intermediate / proficient level of experience with MS Office applications.
• Dedicated, distraction-free workspace in home for home office with access to high-speed internet. (Laptop, telephone, and other equipment will be provided by Company)
• Ability to talk and type at the same time and can navigate a Windows based environment.
• Ability to handle multiple tasks and functions in a high-volume environment and work independently.
• Excellent interpersonal and negotiation skills
• Customer service skills
• Ability to meet or exceed Performance Competencie

As a Workers’ Compensation Field/Telephonic Nurse Case Manager, your primary responsibility will be to facilitate progressive medical treatment/rehabilitation and timely return to work of the injured worker; and to act as liaison for all parties.
This position requires active and unrestricted R.N. licensure in multiple US States. An active case management certification (C.C.M.) is encouraged. The selected candidate must be willing and able to obtain and maintain multiple state licensure and case management certification. Must have strong knowledge of laws and regulations pertaining to HIPAA, workers’ compensation and disability. Experience in worker’s compensation case management is required. Preference will be given to candidates with prior worker’s compensation case management experience.

Essential Functions and Responsibilities:

• Assesses and analyzes injured worker’s medical and vocational status.
• Develops and implements a progressive plan of care to facilitate medical recovery and early return to work, identifies and addresses gaps or barriers in treatment plans.
• Collaborates with the Medical Management team to provide ongoing case management services.
• Acts as liaison for involved parties by communicating telephonically with the claimant, physicians, attorneys, employer, claims examiners, return to work specialists, provider(s), ancillary provider(s) and health care team.
• Using evidence-based criteria, evaluates claimant’s status and progress towards recovery and return to work.
• Promotes early return to work. Coordinates necessary facility discharges, referrals, consultations, and therapeutic services for the injured worker.
• Assists in the development of continued care plans as necessary to include patient education and prevention programs.
• Completes monthly case management activity reports and itemized bills
• Supports the organization’s quality program(s).
• Travel required, estimated at 50%

Required Qualifications:

• Active RN license. Additionally, CCM preferred.
• Multiple state licensure (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses. (Fees paid by Company).
• Minimum of five (5) years’ experience in case management in a worker’s comp environment.
• Minimum of three years clinical experience preferably in neuro, ortho and/or rehab. Home Health experience is beneficial.
• Bilingual (Spanish) is preferred but not necessary.
• Experience applying evidence based clinical guidelines to casework.
• Intermediate / proficient level of experience with MS Office applications.
• Dedicated, distraction-free workspace in home for home office with access to high-speed internet. (Laptop, telephone, and other equipment will be provided by Company)
• Ability to talk and type at the same time and can navigate a Windows based environment.
• Ability to handle multiple tasks and functions in a high-volume environment and work independently.
• Excellent interpersonal and negotiation skills
• Customer service skills
• Ability to meet or exceed Performance Competencies

Job Type: Full-time
Pay: $105,000.00 - $115,000.00 per year

Benefits:

• 401(k)
• Health insurance
• Paid time off

Willingness to travel:

• 50% (Preferred)

Work Location: On the roa