HireDiversity

Description:
Field Case Manager-Medical (Workers Comp)/ RN



GENERAL SUMMARY

:

Are you an RN looking for a better work/life balance? Do you want to plan your own day? ~ Do you want a job with flexibility and where you work from home? Do you want to make commission based on the quality of you work? If you answered YES" to any of these questions; then a position as a Field Case Manager with Coventry is what you have been looking for! Our FCM's are dedicated healthcare professionals with a focus on providing quality care. You will meet with injured workers in the field and assess the medical and/or vocational components of injured worker's situation to restore injured worker's function; capacity and self-esteem.-- I addition to a competitive base salary; we offer a bonus for hours worked over 40. This promotes a great customer service and value to our clients. Home office; with daily field work; cell phone; mileage ; salary with monthly bonus potential.

 MAJOR DUTIES AND RESPONSIBILITIES:

 -Assesses and analyzes injured worker's medical and/or vocational status and develops a viable; realistic service plan.

- Meets with clients in their homes; work-sites; physician's or therapist's office to provide on going case management services.

- Develops a plan of care for patients from admission to discharge. Monitors patient progress toward desired outcomes through assessments and evaluations. Communicates both in-person and telephonically with client; medical providers; attorneys; employers; insurance carriers; etc.

-Develops and administers education and prevention programs.

-Develops guidelines for working with patients; healthcare management companies; insurance companies or other third party payers to determine quality; cost-effective care.

-Applies all special instructions required by individual insurance carriers and referral sources.

-Applies all laws and regulations that apply to the provision of rehabilitation services.

-Testifies when called upon to do so; to substantiate any casework or reports that may be seen as relevant to hearing involving client. Evaluates outcome of patient care.

- Prepares reports and other required paperwork as documentation of all casework activities at May arrange referrals; consultations; therapeutic services; and confers with other specialists on course of care and treatment.

- Attends staff meetings Participates in sales activities.

Job Requirements /Qualifications:

 Must have current nursing license in the state of New York.

 Preferred: workers' comp experience; case management experience; CCM; COHN; CRRN; CDMS required;

- Must have current drivers' license and be willing to do local travel.

- Must have strong computer skills.  Able to use laptop and smart phone. Knowledge of MS Offfice with MS Word and MS Excel.

EDUCATION/CREDENTIALS: Licensed RN in accordance with state laws of jurisdiction.

JOB RELAVENT EXPERIENCE: 2 - 4 years case management experience; prefer workers compensation.

Coventry Health Care is an Affirmative Action/Equal Opportunity Employer; and we are committed to building a talented and diverse team"."
Qualifications:


JOB SPECIFICATIONS

- Registered nurse with current state (NY) RN license.

- Previous (3 or more years) Case Management experience required.

- Bachelor’s degree or equivalent experience preferred.

- CCM, CRRN, COHN, or CDMS eligibility or current certification encouraged. These designations are

required where dictated by state law.

Bi-lingual in Spanish is highly preferred.

- Knowledge of  New York laws and regulations governing delivery of rehabilitation services.

- Knowledge of Workers’ Compensation and disability industry

- Strong problem solving and analytical skills.

- Ability to work independently, requires working from home and car.

-   Requires the use of a laptop computer adn smart phone. Proficient with MS Office - Word and Excel.

- Regular local travel required. Must be able to drive throughout the New York City area.

- Demonstrated communication, organizational, and interpersonal skills.

 

 

Coventry Health Care is an Affirmative Action/Equal Opportunity Employer; and we are committed to building a talented and diverse team"."

Job: Professionals
Primary Location: New York, NY, US
Organization: 43000 - CHC Workers Compensation
Schedule: Full-time
Job Posting: 2013-01-17 00:00:00.0
Job ID: 1310199