Nurse Case Manager

Aquarius Strategies Inc•Malvern, PA

55d•Remote

About The Position

Aquarius Strategies has been retained to recruit Nurse Case Managers to provide case management services to patients receiving care under the Workers Compensation & Disability Insurance Claims Industry. This trusted organization is seeking case managers to service the following states/regions: SouthEast PA, Northern VA, & NJ. Under general direction, the Nurse Case Manager is responsible for collaborating with all case-involved parties to assess, promote, and coordinate appropriate and timely client medical care. Expertise is utilized to implement interventions resulting in optimal recovery and functioning.

Requirements

Ability to establish professional working relationships and effective communication with employees, clients, vendors industry partners
Ability to maintain daily scheduled activities with effective time management skills
Ability to conduct thorough medical records review
Ability to assess medical status and formulate recommendations
Ability to coordinate medical services
Ability to write factual, clear and concise reports, to include situational analysis
Informed, effective and efficient decision-making skills
Computer skills, to include proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
Organization and accuracy skills
Ability to communicate clearly, both verbally and in writing
Associate’s Degree in Nursing; Bachelor’s Degree preferred
Minimum 5 years of direct patient care experience required
Current, unrestricted licensure as a Registered Nurse, permitting practice in a state or territory of the United States; specifically, those states or territories in which services are provided
Maintain at least one current, unrestricted industry-related National Professional Certification (achieved or working towards upon eligibility)
Participate in ongoing continuing education courses/activities as required by the standards of current professional license(s)/certification(s)
Possess independent transportation and current, unrestricted driver’s license

Nice To Haves

Previous case management experience desirable

Responsibilities

Support day-to-day operations of the Quality Management Program
Initiate contact with Attorney, and maintain as necessary
Secure Authorization for Release of Medical Information from consumer
Conduct initial interview, collecting current and historical consumer information
Obtain medical restrictions from attending physician through completion of Physical Capabilities Evaluation Form
Coordinate receipt of all pertinent details necessary for assessment of medical condition
Determine case direction, establishing specific rehabilitation objectives and goals towards physical and psychological recovery and define associated actions
Coordinate service delivery from external providers and community resources
Conduct cost analysis and negotiate fees
Implement medical management through routine physician contact and routine contact with other relative medical personnel to include physical therapist, occupational therapist, nutritionist, and the like
Coordinate and monitor participation in appropriate rehabilitative programs
Monitor and evaluate rehabilitative progress and obtainment of goal
Secure completed Job Description from the consumer’s Employer, and pursue job accommodations as appropriate
Coordinate and maintain schedule of daily activities
Formulate timely case reports, to include presentation and analysis of factual information
Submit timely office reports as requested
Determine vocational interventions and maintain regular contact with Vocational Case Manager when appropriate to monitor Consumer progress
Potentially travel routinely within two-hour, one-way driving radius for client and/or medical appointments; occasional extensive travel also required
Participate in continued training in services and industry
Will refrain from assigning any clinical duties to non-clinical, administrative support staff
Will practice only within the boundaries of competence, based upon education, training, certification and professional experience
Will adhere to all applicable physician, hospital, facility procedures, to include checking in with designated personnel
Perform other duties and responsibilities as assigned