Field Case Manager-Medical / RN / Worker's Compensation
GENERAL SUMMARY
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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:
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Registered nurse with current state Utah 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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CCM, CRRN, COHN, or CDMS eligibility or current certification required. These designations are required where dictated by 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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Strong computer skills with MS Office: Word. Excel adn Outlook. Requires the use of a laptop computer and smart phone. Able to complete automated files.
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Regular, daily local travel required. Must have reliable means of transportation.
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Professional 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: Salt Lake City, UT, US
Organization: 43000 - CHC Workers Compensation
Schedule: Full-time
Job Posting: 2013-02-06 00:00:00.0
Job ID: 1310485