RN, Case Manager
Feel the value of excellence by providing quality medical case management for injured workers, coordinating appropriate care, making recommendations, and professionally communicating with insurance carriers, healthcare providers, ancillary vendors, employers, and attorneys. Make a difference by driving to and attending medical appointments in-person. Complete prompt and thorough documentation and qualify for bonus compensation. Enjoy inserting your own style into the work you do and benefiting from more flexibility at work.
About the role
Provide field-based case management services (within the worker's compensation industry) by utilizing professional judgment and discretion, applying professional processes, and adhering to Case Management Society of America (CMSA), ISYS, and customer guidelines. Facilitate appropriate qualitative and timely medical care for injured workers by implementing prudent case management strategies, demonstrating proactive communication, and coordinating with all parties to enable optimal recovery outcomes, including return to work determination, file progression towards Permanent and Stationary designation, and cost containment for the customer. Facilitate timely claim resolution through proactive and professional communications, conducting case-specific research, information analysis, and providing appropriate advice, direction, and action plans to implement treatment and optimize realistic outcomes.
Responsibilities
- Frequent travel (driving) throughout designated geographical service areas to in-person appointments/visits. Potential overnight or air travel for special occasions, special geographies, or coverage purposes.
- Management of cases as assigned by ISYS, including "rush"/same-day referrals from ISYS' customers and attendance at medical appointments scheduled during the hours of the facilities providing treatment.
- Autonomous management of assigned caseload, including coordination of weekly and daily work activities and schedule, ensuring optimal time management and professional prioritization of all activities.
- Conducting onsite case management services following the CMSA guidelines and ISYS protocols and procedures.
- Enthusiastically and professionally coordinate, facilitate, conduct, and complete in-person attendance at physician appointments, hospital visits, case conferences, home visits, and ancillary providers to facilitate treatment recommendations in a timely manner.
- Initiate and conduct professional discussions with medical providers regarding diagnosis, treatment, and prognosis.
- Apply the case management process, education, and experience to facilitate appropriate and timely treatment and recovery of the injured worker with the goal of maximal recovery and maximal return to work.
- Provide proactive and timely communication, and coordinate collaboration with all parties involved in each case, in-person, by phone, and/or in writing.
- Support the injured worker's progress towards achieving Maximum Medical Improvement and foster realistic and effective Return to Work opportunities by exploring viable options with all involved parties.
Pay
Compensation range: $90,000.00 to $120,000.00 annually. Compensation includes both biweekly salary and uncapped bonus pay, allowing high earning potential based on performance.
Benefits
- Flexible schedule with the opportunity to adjust your work responsibilities to fit personal preferences and workstyle.
- Paid Time Off (PTO) accrued monthly, with the ability to earn bonus PTO rewards annually.
- Comprehensive benefits package including:
- Tax-deferred retirement program
- Medical, dental, and vision insurance
- Ancillary supplement health plans
- Long-term disability insurance
- Employee assistance program
About ISYS Case Management
ISYS is an organization of people with big minds, big hearts, lots of spirit, and good character whose mission is to work creatively and intensively to provide case management solutions and have a positive impact on those we serve. Providing forward-focused care coordination and customer service in the workers' compensation community since 1998, ISYS has an established brand reputation for delivering consistent, high-quality catastrophic, rush, and onsite field medical case management services.
Our company culture is based on living our values:
- Always do the right thing
- Deliver excellence in everything we do
- Encourage a "Hug Your Customer" philosophy
- Communicate respectfully and proactively
- Build relationships upon trust
- Give generously
- Pursue growth and learning
- Be honest, authentic, grateful, and humble
- Promote individual and economic liberty
- Embrace the family spirit
Annual employee surveys, team-building activities, and gatherings to acknowledge exceptional performance are part of our work family culture. ISYS also has a Charitable Activities Committee that oversees and promotes employee involvement in our "Pay it Forward" program, focusing on giving back to the communities in which we live and work.