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Telephonic Case Manager, RN – Compact License

Remote · Mexico Full-time

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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