Medical Field Case Manager

About the Role

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. This is a full-time, field position, remote when not traveling locally. The candidate must be located in the Charleston, SC area due to regular local travel for in-person patient appointments.

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.

Qualifications

• Education: Associate's Degree or Bachelor's Degree in Nursing or related field.
• Experience: 2+ years clinical practice preferred. Workers' compensation-related experience preferred.
• 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.

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.

Benefits

• Full and comprehensive benefits program including 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.
• 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.
• Hands-on workers' compensation case management training.

Pay

The expected base pay for this position ranges from $70,600 - $75,000 annually. In addition to the base salary, you will be eligible to participate in our productivity-based bonus program. Your total compensation, including base pay and potential bonus, will be based on a number of factors including skills, experience, education, and performance metrics.