Position Overview:
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.
Job 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.
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Interviews patient’s in their homes, work-sites, or physician’s office to provide ongoing case management services.
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Monitors patient progress toward desired outcomes through assessment and evaluation.
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Communicates both in-person and telephonically with patient, medical providers, attorneys, employers and insurance carriers. Prepares all required documentation of case work activities.
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May arrange referrals, consultations and therapeutic services for patients. Confers with specialists concerning course of care and treatment.
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Develops and administers educational and prevention programs.
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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.
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Testifies as required to substantiate any relevant case work or reports.
- Performs other duties as assigned.
Qualifications:
Job Requirements:
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Registered nurse with current state (TX) RN license.
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Previous (3 or more years) Case Management experience required.
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Bachelor’s degree or equivalent experience preferred.
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Must have one of the following certifications: CCM, CRRN, COHN, or CDMS eligibility. These designations are required by Texas state law.
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Knowledge of laws and regulations governing delivery of rehabilitation services.
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Knowledge of workers’ compensation and disability industry
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Strong problem solving and analytical skills.
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Ability to work independently, requires working from home office.
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Good computer skills with MS Office - Word / Excel and Outlook. Requires the use of a laptop computer and smart phone and able to complete automated files.
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Regular, daily local travel required. Must have reliable transportation.
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Professsional communication skills both written and verbal
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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: Corpus Christi, TX, US
Organization: 43000 - CHC Workers Compensation
Schedule: Full-time
Job Posting: 2013-01-24 00:00:00.0
Job ID: 1310280