EK Health Services Inc. logo
EK Health Services Inc.

Experience Better Managed Care.

Telephonic Case Manager, RN

ManagerManagerPart TimeRemoteSeniorTeam 201-500Since 1998H1B No SponsorCompany SiteLinkedIn

Location

California

Posted

61 days ago

Salary

$35 - $42 / hour

Seniority

Senior

Associate Degree3 yrs expSpanishEnglish

Job Description

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

Job Requirements

  • CA RN license in good standing
  • Graduate of an accredited school of nursing
  • 3-5 years clinical experience as an RN outside of school
  • Workers Compensation Case Management experience
  • Valid state approved RN license in good standing
  • Bilingual in Spanish
  • Experience in Case Management, Workers' Compensation experience preferred
  • Experience in Home Health Care, Occupational Health considered a plus
  • Excellent Written and Oral Communication Skills
  • Excellent Interpersonal & Organizational Skills
  • High comfort level with computers and computer programs (MS Word, MS Excel, Email)

Benefits

  • 401K
  • Equipment is provided
  • Monthly internet stipend

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