Role Description
Telephonic Case Manager - Rare Opportunity!
EK Health is now hiring for a Telephonic Nurse Case Manager (RN) for our Case Management Team! This role includes:
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Assessing, planning, implementing, coordinating, and evaluating service options.
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Assisting the injured worker in receiving appropriate, cost-effective medical care for their injury in a timely manner.
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Expediting their return to work.
Position Logistics:
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Monday β Friday, 8:30am - 5:30pm local time, Full-time Remote.
NOTE:
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Requires a Compact RN license in good standing.
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Workers Compensation experience is preferred but not required.
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Wage is based on experience, education, certifications, and location (may be either hourly or salary based on individual state requirements).
Hereβs a snapshot of what youβll be doing (not all-inclusive):
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Communicate with medical providers, employers, and injured workers.
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Perform a complete nursing evaluation to determine the needs of the patient.
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Review and evaluate all medical correspondence, provider reports, & treatment plan history.
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Evaluate clinical status of claimant and research for alternative options to treatment as warranted.
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Communicate with the claims examiners regarding directives and provide updates on file status.
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Arrange transportation services when necessary and authorized.
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Evaluate therapy facilities and their progress on specific cases.
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Prepare comprehensive notes following any discussions had with injured worker, medical providers, claims examiners, and employers in the case file.
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Discuss the analyzed data and the comprehensive plan of care with the insurance representative prior to implementation.
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Upon authorization, implement this plan of care with patient, physician, and health care providers.
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Arrange for care/services as needed (home care, procedures, medication, equipment, or supplies).
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Monitor the plan of care with modifications or changes suggested to the patient and physician as the need arises.
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Coordinate information between all parties (injured worker, physicians, employer, other providers, such as therapists, and attorney, if any is involved).
Qualifications
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Graduate of an accredited school of nursing.
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3-5 years clinical experience as an RN outside of school.
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Valid Compact RN license in good standing with no restrictions.
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Valid state-appropriate RN license in good standing with no restrictions.
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May be required to obtain CA RN License.
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Possesses and can demonstrate the professional and technical skills of a Registered Nurse.
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Experience in Case Management, Workers' Compensation experience preferred, but not required.
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Experience in Home Health Care, Occupational Health considered a plus.
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Excellent Written and Oral Communication Skills.
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Excellent Interpersonal & Organizational Skills.
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High comfort level with computers and computer programs (MS Word, MS Excel, Email).
Benefits
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Base pay $35-42/hr ($72,800 - $87,360 annually).
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Medical, Dental and Vision Insurance.
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401K.
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Paid Time Off.
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Paid holidays.
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Equipment is provided.
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Monthly internet stipend.