Telephonic Case Manager - Part-Time - Bilingual Spanish - CA License - REMOTE!

EK Health is hiring a Part-Time Telephonic Nurse Case Manager (RN) to assess, plan, implement, coordinate, and evaluate service options. The goal is to assist injured workers in receiving appropriate, cost-effective medical care and expedite their return to work.

Schedule: Monday – Friday, 20-25 hours per week, between 9am-5:30pm PST. Requires a CA RN license in good standing. Workers' Compensation experience preferred but not required. Bilingual in Spanish is preferred.

Responsibilities

• Communicate with medical providers, employers, and injured workers
• Perform a complete nursing evaluation to determine patient needs
• Review and evaluate medical correspondence, provider reports, and treatment plan history
• Evaluate clinical status of claimant and research alternative treatment options as warranted
• Communicate with claims examiners regarding directives and provide file status updates
• Arrange transportation services when necessary and authorized
• Evaluate therapy facilities and their progress on specific cases
• Prepare comprehensive notes following discussions with injured workers, medical providers, claims examiners, and employers
• Discuss analyzed data and the comprehensive plan of care with the insurance representative prior to implementation
• Upon authorization, implement the plan of care with the patient, physician, and healthcare providers
• Arrange for care/services as needed (home care, procedures, medication, equipment, or supplies)
• Monitor the plan of care and suggest modifications or changes to the patient and physician as needed
• Coordinate information between all parties (injured worker, physicians, employer, therapists, and attorney, if involved)

Requirements

• Graduate of an accredited school of nursing
• 3-5 years of clinical experience as an RN outside of school
• Valid CA RN license in good standing with no restrictions
• Valid state-appropriate RN license in good standing with no restrictions
• Professional and technical skills of a Registered Nurse
• Experience in Case Management; Workers' Compensation experience preferred but not required
• Experience in Home Health Care or Occupational Health considered a plus
• Excellent written and oral communication skills
• Excellent interpersonal and organizational skills
• High comfort level with computers and programs (MS Word, MS Excel, Email)

Benefits

• Base pay: $35-40/hr (based on experience, education, certifications, and location)
• 401K
• Equipment provided
• Monthly internet stipend