Telephonic Case Manager

About the role

This is a full-time, flexible work from home position and can be located anywhere in the U.S. California RN and Compact RN License Required.

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.
• Prepare status updates for submittal to customers.
• Assist in training/orientation of new staff as requested.
• Complete other duties as assigned.

Qualifications

• Education: Associates 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, COHN-S, RN-BC, ACM, CMAC, CMC).
• Internet: Must have reliable internet.

Benefits

• Full and comprehensive benefits program
• 24 days of paid vacation/holidays in your first year plus sick days
• Home office equipment including laptop and desktop monitor
• Employee Assistance and Referral Program
• Hands-on workers’ compensation case management training
• Medical, Dental, Vision
• Health Savings Accounts / Flexible Spending Accounts
• Life and AD&D Insurance
• 401(k)
• Tuition Reimbursement

Pay

The expected base pay for this position ranges from $74,000 - $86,000 annually, and will be based on a number of additional factors including skills, experience, and education.