Telephonic Case Manager - LPN (Remote in NJ)
About The Position
Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients’ needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers’ compensation insurance carriers; third party administrators (TPAs); and government entities we serve. OVERVIEW: The Telephonic Nurse Case Manager is a work from home in New Jersey working with people injured on-the-job and coordinating their care with health care providers and insurance carriers. Earn a competitive salary and excellent benefit package, including a specialized incentive plan for full-time staff. The ideal candidate is detail-oriented with Case Management experience preferably Workers’ compensation in NJ (CCM and/or CRRN preferred) and strong interpersonal skills. Candidates should understand the medical management of a workers’ compensation and health insurance claims. They should also have knowledge of the hospital setting, including familiarity with hospital administration.
Requirements
- Case Management experience (2-5 years) experience
- Nursing - 3 years
- Must be detail oriented
- Good communication skills
- Must be able to operate a motor vehicle.
Nice To Haves
- ER/Rehab/Home Health nursing a plus
- CCM and/or CRRN preferred
- Bilingual a plus
Responsibilities
- Knowledge of medical management related to Worker’s Compensation, especially NJ.
- Workers’ Compensation regulations and Health claims.
- Knowledge of hospital setting and administration.
- Knowledge of Microsoft Office Suite programs.
- Knowledge of principles and processes for providing customer and personal services, to include customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
- Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
- Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
