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 the worker's compensation industry.
• Ability to manage and prioritize multiple tasks effectively.
• Knowledge of CMSA guidelines and ISYS protocols and procedures.
• Ability to conduct and complete in-person attendance at physician appointments, hospital visits, case conferences, home visits, and ancillary providers.
• Proficiency in initiating and conducting professional discussions with medical providers regarding diagnosis, treatment, and prognosis.
• Experience in facilitating appropriate and timely treatment and recovery of the injured worker with the goal of maximal recovery and maximal return to work.
• Proactive and timely communication skills.
• Coordination and collaboration with all parties involved in each case.
• Ability to support the injured worker's progress towards achieving Maximum Medical Improvement and fostering realistic and effective Return to Work opportunities.

Benefits

• Compensation includes both biweekly salary and bonus.
• Ongoing bonus pay is not capped which means high earning potential is in your hands.
• The opportunity to adjust your work schedule and navigate your responsibilities in a way that fits your personal preference and workstyle.
• PTO (vacation) is accrued monthly.
• You can earn bonus PTO rewards annually and enjoy even more time off.
• A benefits package with tax-deferred retirement program, a flexible schedule, medical, dental, and vision insurance, ancillary supplement health plans, Long-term disability insurance, and 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 of delivering on our promise to provide consistent high quality catastrophic, rush, and onsite field medical case management services. Our company culture is based on living our values to: 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 are conducted as part of holding ourselves accountable to living these values and delivering on our promise to our employees. Annual team building, annual gatherings to acknowledge exceptional performance, and routine hugging are all 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, which focuses on different ways to give back to the communities in which we live and work.