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.

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
• 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
• 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)
• 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

Pay

The expected base pay for this position ranges from $71,000 - $95,000 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.

Benefits

• Medical, Dental, Vision
• Health Savings Accounts / Flexible Spending Accounts
• Life and AD&D Insurance
• 401(k)
• Tuition Reimbursement
• 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
• Array of resources that encourage a lifetime of healthier living

Schedule

This is a full-time, hybrid position. The candidate must be located in the Jacksonville, Florida area due to regular local travel for in-person patient appointments.