NEW JOB OPENING MEDICAL CASE MANAGER IN REMOTE, USA!
Job Description Required Education:• Associate's or Technical Degree in NursingPreferred Education:• Bachelor of Science in Nursing preferred.Certification: • National certification in case management or related field preferred in one of the following areas: Occupational Health (COHN); Case Management (CCM), Insurance Rehabilitation (CIRS/CRRN), Disability Management (CDMS), and/or Nurse Case Manager Board Certified (ANCC/ANA).Qualifications/Skills/Experience:• The Telephonic Triage Nurse Case Manager is a Registered Nurse and may also be referred to as the TN. • The TN implements integrated medical disability case management services to prevent, minimize, or overcome disability.• The TN provides medical expertise and serves as the critical communication link between the parties involved in any medical disability case.• The TN emphasizes returning medically able individuals to productive service and facilitating early access to appropriate care.• The TN ensures timely interventions as outlined by the Nurse Vocational Rehabilitation Services (NVRS) contract with the Department of Labor (DOL) and facilitates continuous communication while providing patient advocacy through supporting patient choices. • DOL determines the TN CM assignment with a maximum assignment duration of two weeks. • The TN is sensitive to the importance of productive work and sees a return to work as the key outcome.• 5 years related clinical experience with a minimum of two years adult medical/surgical nursing experience and a minimum of two years case.• Management experience in the workers' compensation arena OR, have a minimum of one year of adult medical/surgical nursing experience and three years of case. • Management experience in the workers' compensation arena.• Experience with Federal Employee Compensation Act (FECA) and FECA-related issues is preferable, as applicable.Duties and Responsibilities • Accepts assignments based on referrals from DOL with service period limitations• Responsible for coordinating timely contact and information sharing with the injured worker, treating provider, and the Agency.• Accurate, timely documentation of contact attempts and communications in assigned case management systems as identified by SGS, as well as DOL• Conduct and document an assessment of each injured worker/employee, including (as appropriate) regarding clinical and non-medical obstacles.• Psychosocial status, consumer knowledge, education needs about health status and treatment plan, past relevant history, and possible non-medical impediments to successful resolution• Collaborate and communicate with the injured worker/employee, providers, employer, or the employer's representative in the execution of a plan for return to work or other productive activity.• Identify and obtain any required or outstanding medical documentation in support of the individual's plan for a return to work or other productive activity.• Understand and implement criteria for the discharge of injured workers from TN services• Identify cases that would benefit from additional case management services, such as assignment of a DOL FN• Promote goodwill by assisting all involved parties on issues related to the injured worker/employee, provider relations, and OWCP coordination, as applicable.• Understand the organization's quality management program and the case manager's role within that program• Is an effective team member; supports the team by pitching in at any level and effectively working across the organization to meet the needs of the business• Take ownership of personal actions and outcomes.• Embrace change; maintain an open mind and be flexible and adaptable in the face of ambiguity and change• Ability to work independently, multitask, and adjust priorities• Proactively seek opportunities to increase knowledge, skills, and abilities• May perform other duties, as needed, to meet the needs of the business• Ability to utilize a case management system, Electronic Medical Record or other electronic platform• Ability to utilize telehealth technologies (video, chat, etc.), when appropriate, for a variety of clinical care and care management services. • Demonstrated ability to use Microsoft applications and demonstrate basic electronic technology understanding• Computer literacy, including MS Word, Excel, and OutlookRequired Skills • Communication Skills• Excellent verbal, written, and interpersonal communication skills, and organizational and analytical skills. Superior customer service skills working proactively and collaboratively with client employees and client leaders, medical staff, and co-workers. Ability to effectively present information.• Excellent team player; ability to partner with internal and external clients and other cross-functional departments. • Superior writing and communication skills• . Must write succinctly and clearly and explain complex situations in plain English to technical and non-technical audiences. • Utilizes direct communication and proactive problem-solving to address challenges and disagreements.Reasoning Ability• Ability to apply logical thinking to a wide range of intellectual and practical problems. • Able to deal with very difficult concepts and complex variables. • Ability to comprehend, analyze, and interpret documents. Ability to solve problems involving several options in situations.• Requires intermediate analytical and quantitative skills.Other Skills and Abilities, Qualifications • Proficiency in Microsoft Office **Only those lawfully authorized to work in the designated country associated with the position will be considered.** **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client's business needs and requirements.** Benefits: For information and details on employment benefits offered with this position, please visit here . Should you have any questions/concerns, please contact our HR Department via our secure website . California Pay Equity: For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here . Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances. If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department . Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).
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