Initial Care Coordination Case Manager (RN)
About The Position
The Initial Care Coordination Case Manager (RN) at OHARA, LLC is responsible for answering the Initial Care Coordination (ICC) hotline. This role coordinates and manages care needs by assessing injured workers following an injury and providing education on the appropriate use of medical care. The Case Manager serves as a primary point of contact for injured workers, healthcare providers, employers, insurance carriers, and other stakeholders. This position requires working in the office located at Cherapa Place in downtown Sioux Falls, SD. The ideal candidate has a passion for helping others, and strong interpersonal, communication, and assessment skills.
Requirements
- A minimum of two years of experience in a hospital or clinical setting is required.
- Strong customer service and care skills
- Excellent verbal and written communication abilities
- Strong attention to detail and a consistent commitment to producing high-quality, accurate work
- Ability to prioritize multiple tasks and requests while meeting quality and service standards.
- Outstanding interpersonal and relationship-building skills
- Proficiency with Microsoft Office applications and database systems
- Sound clinical judgment, critical thinking, and decision-making capabilities
- Current Registered Nurse (RN) license
Nice To Haves
- Current CCM (Certified Case Manager) credential or another URAC-approved certification, or the ability to obtain certification within three years of employment
Responsibilities
- Answer and manage incoming Initial Care Coordination (ICC) hotline calls during designated business hours, delivering prompt, professional support following workplace injuries.
- Serve as the first point of contact for injured workers, employers, healthcare providers, insurance carriers, third-party administrators, and other stakeholders, ensuring clear communication and a supportive care experience.
- Obtain and verify injury details, demographic information, employer information, and claim-related data from reporting parties.
- Conduct initial telephonic assessments to identify medical needs, treatment status, barriers to recovery, and appropriate next steps in the care coordination process.
- Enter, maintain, and update claim and injury information within designated software systems and electronic databases.
Benefits
- medical, dental and vision coverage
- paid holidays
- PTO
- 401K
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
