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Coventry Health Care

Field Case Manager - Med / RN/ Workers Comp - San Fernando Valley Job


Job Information

Posted:

Wednesday, February 06, 2013

Modified:

Tuesday, February 12, 2013

Division:

43000 - 43000 - CHC Workers Compensation

Location: 

San Fernando California US

Job ID:

21795 (Coventry Health Care Job ID)

HireDiversity Job ID:

3583164

Job Text

Description:
GENERAL RESPONSIBILITIES

Responsible for assessing and analyzing an injured employee to evaluate the 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 company, and healthcare personnel.

ESSENTIAL RESPONSIBLITIES

- Assesess and analyzes an injured employee's 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.
- Conducts vocational testing, job site analysis, job development, counseling and placement to manage patient's return to work status. 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

- RN license for state of CA is required.
- Bi-lingual in Spanish is preferred.
- Previous (3 or more years) case management experience required.
- Bachelor's degree or equivalent experience preferred.
- CCM, CRP, 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 disablity industry.
- Strong problem solving and analytical skills.
- Ability to work independently, work from a home office.
- Strong computer skills with MS Office: Word / Excel / Outlook is required.
- Able to use of a laptop computer and Smart Phone is required.
- Regular / daily local travel required.  Must have reliable transportation.
- Execellent communication skills both written and verbal.  Able to document case files electronically.
- Good time managment, 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: San Fernando, CA, US
Organization: 43000 - CHC Workers Compensation
Schedule: Full-time
Job Posting: 2013-02-06 00:00:00.0
Job ID: 1310477

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