Medical Field Case Manager
About The Position
This is a part-time, work-from-home position. The candidate must be located in the Boise, ID area due to regular local travel for in-person patient appointments. Perks: Full and comprehensive benefits program, 24 days of paid vacation/holidays in your first year plus sick days, home office equipment including laptop and desktop monitor, mileage and travel reimbursement, Employee Assistance and Referral Program, and hands-on workers' compensation case management training. Join our compassionate team and help make a positive difference in an injured person's life. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning.
Requirements
- Education: Associates Degree or Bachelor's Degree in Nursing or related field.
- Experience: 2+ years clinical practice preferred. Workers' compensation-related experience preferred.
- Skills: Ability to advocate recommendations effectively with physicians/providers, employers, and customers. Ability to work independently. Knowledge of basic computer skills including Excel, Word, and Outlook Email. Proficient grammar, sentence structure, and written communication skills.
- Certifications, Licenses, Registrations: Active Registered Nurse (RN) license required. Must be in good standing.
- URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN or COHN, COHN-S, RN-BC, ACM, CMAC, CMC).
- Travel: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography.
- Internet: Must have reliable internet.
- Transportation: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography.
Nice To Haves
- Workers' compensation-related experience preferred.
Responsibilities
- Demonstrate knowledge, skills, and competency in the application of case management standards of practice.
- Use advanced knowledge of types of injury, medications, comorbidities, treatment options, treatment alternatives, and knowledge of job duties to advise on a treatment plan.
- Interview disabled persons to assess overall recovery, including whether injuries or conditions are occupational or non-occupational.
- Collaborate with treating physicians/providers and utilize available resources to help create and implement treatment plans tailored to an individual patient.
- Work with employers and physicians to modify job duties where practical to facilitate early return to work.
- Evaluate and modify case goals based on injured/disabled person's improvement and treatment effectiveness.
- Independently manage workload, including prioritizing cases and deciding how best to manage cases effectively.
- Complete other duties, such as attend injured worker's appointments when appropriate, prepare status updates for submittal to customers, and other duties as assigned.
Benefits
- Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living.
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What This Job Offers
Job Type
Part-time
Career Level
Mid Level
Industry
Insurance Carriers and Related Activities
Education Level
Associate degree
Number of Employees
1,001-5,000 employees
