RN, Case Manager

About the role

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.

Responsibilities

• Frequent travel (Driving) throughout designated geographical service areas to in-person appointments/visits.
• Potential overnight or air travel for special occasions or special geographies, or for 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.
• Facilitate appropriate qualitative and timely medical care for injured workers by implementing prudent case management strategies, demonstrating proactive communication, and appropriate coordination 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.

Qualifications

• Strong work ethic and high integrity.
• Professional judgment and discretion.
• Professional processes and adherence to Case Management Society of America (CMSA), ISYS, and customer guidelines.
• Proactive communication and appropriate coordination with all parties to enable optimal recovery outcomes.
• Experience in workers compensation case management.
• Ability to drive and attend medical appointments in-person.
• Proficiency in conducting onsite Case Management services following CMSA guidelines and ISYS protocols and procedures.
• Ability to initiate and conduct professional discussions with medical providers regarding diagnosis, treatment, and prognosis.
• Knowledge of the case management process, education, and experience to facilitate appropriate and timely treatment and recovery of the injured worker.
• Proactive and timely communication skills.
• Coordination and collaboration with all parties involved in each case.
• Experience in managing and coordinating assigned caseloads.
• Ability to manage and prioritize work activities.

Benefits

• Ongoing bonus pay not capped, leading to high earning potential.
• The ability to adjust your work schedule and navigate your responsibilities in a way that fits your personal preference and workstyle.
• Accrued PTO (vacation) monthly.
• Annual employee surveys to hold ourselves accountable to living our values and delivering on our promise to our employees.
• Annual team building, annual gatherings to acknowledge exceptional performance, and routine hugging as part of our work family culture.
• Charitable Activities Committee overseeing and promoting employee involvement in our Pay it Forward program, focusing on different ways to give back to the communities in which we live and work.

Pay

COMPENSATION RANGE: $120,000.00 to $180,000.00 annually

Schedule

The position offers the privilege to impact your earnings and the opportunity to adjust your schedule.