Sr Medical Case Manager-CA

Crawford Job Listings - Global • Los Angeles, CA

106d

About The Position

This is a work from home position requiring local field case management travel to cover the areas of Santa Clarita, Lancaster, Palmdale, Burbank, Glendale, Porter Ranch, Valencia & Van Nuys, California. The role involves providing quality case management services in an appropriate, cost-effective manner. The candidate will provide medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Quality Improvement Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability and Disability.

Requirements

• RN degree required
• National Certification such as CCM, CRC, COHN, CRRC required

Nice To Haves

• Prior Workers Compensation Case Management preferred

Responsibilities

• Provide quality case management services in an appropriate, cost-effective manner.
• Deliver medical case management service consistent with URAC standards and CMSA Standards of Practice and Quality Improvement Guidelines.
• Manage cases for patients/employees receiving benefits under various insurance lines.

Benefits

• Great Work Life Balance!
• Quarterly Bonus Opportunities!
• Free CEU’s for licenses and certificates
• License and national certification reimbursement

What This Job Offers

• Career Level: Mid Level
• Education Level: Bachelor's degree