Medical Case Manager (Rn) - Remote

Description:

• Responsible for managing the disability duration of an injured worker/employee and focus on return to work opportunities or other productive activity, including working with medical providers to identify an estimated return to modified duty, vocational rehabilitation, release from care, or actual return-to-work date
• Responsible for coordinating the treatment pathways of those claims that meet the internal case management criteria, including setting the appropriate treatment plan and other activities that meet an injured worker's/employee's health and return-to-work needs or other productive activity.
• Conducts and documents an assessment of each injured worker/employee including (as appropriate) health status, treatment plan, financial resources for health care, psychosocial status, consumer knowledge, education needs in relation to health status and treatment plan, past relevant history, and possible non-medical impediments to successful resolution
• Understands and implements criteria for identifying individuals for case management services · Coordinates case management plans and activities with the human resources department of the injured worker/employee, as appropriate
• Solicits the employee's interest and consent, if necessary, for participation in case management activities and documents oral and/or written consent
• Documents a case management plan specific to the injured worker/employee that includes short and long term goals with timeframes, timeframes for re-evaluation, resources to be utilized, and collaborative approaches to be used (including physician participation)

Requirements:

• Bachelors in Science Nursing or Associate in Nursing (ASN) or Nursing Diploma.

Certification-

• License
• Unrestricted Current State Registered Nurse License
• The Medical Case Manager role does require an active RN license in the state they live in.
• National certification in case management or related field preferred

Experience

• 3+ years of clinical experience as a Registered Nurse
• Excellent verbal, written, and interpersonal communication skills, organizational and analytical skills. Superior customer service skills working proactively and collaboratively with client colleagues and client leaders, medical staff, and co-workers. Ability to effectively present information. Excellent team player; ability to partner with internal and external clients and other cross-functional departments. Superior writing and communication skills. Must write succinctly and clearly and explain complex situations in plain English to technical and non-technical audiences. Utilizes direct communication and proactive problem solving to address challenges and disagreements.
• Experience in Behavioral Health Chronic Medical Conditions or Oncology preferred,
• 2+ years experience in medical case management, discharge planning, utilization review/management to determine the necessity of medical services, occupational health, and/or comparable field
• Communication Skills