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. Complete prompt and thorough documentation and qualify for bonus compensation.

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 required. Professional judgment and discretion, professional processes, adherence to Case Management Society of America (CMSA), ISYS, and customer guidelines essential. Knowledge of the worker's compensation industry, medical terminology, and case management principles necessary. Proficiency in Microsoft Office Suite and other relevant software tools. Excellent communication skills, both written and verbal, are required. Ability to manage multiple tasks and prioritize effectively. Experience in managing caseloads and coordinating medical appointments is preferred.

Skills

• Strong work ethic and high integrity
• Professional judgment and discretion
• Adherence to Case Management Society of America (CMSA), ISYS, and customer guidelines
• Knowledge of the worker's compensation industry, medical terminology, and case management principles
• Proficiency in Microsoft Office Suite and other relevant software tools
• Excellent communication skills, both written and verbal
• Ability to manage multiple tasks and prioritize effectively
• Experience in managing caseloads and coordinating medical appointments

Benefits

• Biweekly salary and bonus
• Ongoing bonus pay not capped for high earning potential
• The opportunity to adjust your work schedule and navigate your responsibilities in a way that fits your personal preference and workstyle
• PTO (vacation) accrued 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

Pay

$120,000.00 to $180,000.00 annually

Schedule

Flexible schedule with the opportunity to adjust your responsibilities to fit your personal preference.