Description:
GENERAL SUMMARY
:
Responsible for assessing and analyzing an injured employee to evaluate the medical and vocational needs
required to facilitate the patient’s appropriate and timely return to work. Acts as a liaison with patient/family,
employer, provider(s), insurance companies, and healthcare personnel.
ESSENTIAL RESPONSIBILITIES
- Assesses and analyzes an injured employee’s medical and vocational status. Develops a plan of care to
facilitate the patient’s appropriate and timely return to work.
- Interviews patient’s in their homes, work-sites, or physician’s office to provide ongoing case management
services.
- Monitors patient progress toward desired outcomes through assessment and evaluation.
- Communicates both in-person and telephonically with patient, medical providers, attorneys, employers
and insurance carriers. Prepares all required documentation of case work activities.
- May arrange referrals, consultations and therapeutic services for patients. Confers with specialists
concerning course of care and treatment.
- Develops and administers educational and prevention programs.
- Applies all laws and regulations that apply to the provision of rehabilitation services. Applies all special
instructions required by individual insurance carriers and referral sources.
- Testifies as required to substantiate any relevant case work or reports.
- Performs other duties as assigned.
Qualifications:
JOB SPECIFICATIONS
- Registered nurse with current state (New Mexico) 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.
- Knowledge of 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 office.
- Strong computer skills with MS Office: Word, Excel and Outlook. Requires the use of a laptop computer and smart phone. Able to complete automated files.
- Regular, daily local travel required.
- Professional communication skills both written and verbal. Bi-lingual in Spanish is preferred.
Good time management, 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: Albuquerque, NM, US
Organization: 43000 - CHC Workers Compensation
Schedule: Full-time
Job Posting: 2013-01-24 00:00:00.0
Job ID: 1310283
Premier Members
Coventry Health CareField Case Mgr - Med / RN / Worker's Comp/ Bi-lingual in New Mexico Job |
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Job Information
Posted: |
Thursday, January 24, 2013 |
Modified: |
Tuesday, February 12, 2013 |
Division: |
43000 - 43000 - CHC Workers Compensation |
Location: |
Albuquerque New Mexico US |
Job ID: |
21010 (Coventry Health Care Job ID) |
HireDiversity Job ID: |
3568649 |