About the Role
Role details below.
Responsibilities
- Follow all policies/procedures in the Case Management (CM) plan; retain accountability for the CM process.
- Accept referrals as assigned by the Director of Case Management.
- Make initial contacts per CM plan; schedule initial assessment; obtain date of next physician appointment.
- Confirm assignment with referral source; clarify special handling instructions.
- Build professional relationships with clients; treat claimants with dignity.
- After physician appointments, contact Carrier and Insured per protocol; maintain ongoing communication with Injured Worker, Insured, and Carrier.
- Record data and billing in CaseAnyplace; submit timely monthly reports (Preliminary, Initial, Progress, Closing).
- Attend physician appointments; obtain diagnosis, prognosis, treatment plan, rehab length, estimated RTW (modified/regular duty), and MMI/Full Recovery as appropriate.
- Refer to Vocational Counselor for job analyses (modified/regular duty) when appropriate and approved by Carrier.
- Recommend IME physicians; coordinate and attend IMEs.
- Coordinate transportation as needed.
- Provide translation as needed (for bilingual nurses).
- Monitor treatment plan; attend therapy sessions when appropriate; maintain contact with therapists for updates.
- Request transfer of files to Vocational Counselor when appropriate (LMS, Voc Rehab).
- Assist Carrier/Insured with RTW planning (modified or regular duty).
- Provide information to Defense Attorneys as appropriate.
- Promote teamwork with all staff members.
- Maximize accurate, appropriate billable hours per monthly target (8 hrs/day).
- Maintain licensure/certifications; complete required annual training on time.
- Perform additional professional duties as assigned.
- Retain responsibility for tasks delegated to non-clinical staff.
Benefits
- Competitive pay and bonus program
- Health, dental, vision, and retirement plans
- Flexible scheduling
- Nurse referral program
- Continuing education support
Compensation
Competitive pay and bonus program
Team
Reports to: Director of Case Management
Additional Information
- Regular local travel of up to 2 hours in your region is required.
- Must maintain current, unrestricted RN license in each state where services are provided.
- Must complete required annual training
