Telephonic Nurse Case Manager

United StatesRemoteFull-timemid

Case ManagerHealthcare Clinical

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Quick Summary

Requirements Summary

00am CST to 5:30pm CST, with the ability to flex time based on the jurisdiction Strong computer skills required – Microsoft Suite (Outlook, Excel, Word, etc.

Technical Tools

Case ManagerHealthcare Clinical

What We Offer

~2 min read

In this job, you will:

✓Establish collaborative relationships and act as an intermediary between clients, patients, employers, providers, and attorneys

✓Assess, coordinate, implement, monitor, and evaluate the plan to meet the injured/disabled individual’s needs, utilizing the knowledge of medical necessity, care appropriateness, and managed care principles

✓Promote quality, cost-effective care throughout the health continuum to ensure the injured/disabled individual is able to return to an optimal level of work and functioning and documenting case savings

✓Document ongoing progress of all case management activity, including the organized maintenance of files containing clinical documentation of interactions with all parties of every claim

✓Assess injury severity, extent of disability, treatment plans, functional abilities, and physical job requirements to establish return to work plans and strategies to manage future medical exposure

✓Competitive base salary, profit sharing, 401k matching, generous time off, and career growth opportunities

✓A relaxed, yet upbeat, work environment

✓Rising was named a Top Workplace in the healthcare industry for 2023! Check out our profile here: Rising Medical Solutions, Inc Profile (topworkplaces.com)

✓We're on YouTube! Check out our culture at: http://www.youtube.com/user/RisingMedical

✓Want to see more? Check out our:

✓Facebook: https://www.facebook.com/RisingMedicalSolutions

✓LinkedIn: http://www.linkedin.com/company/rising-medical-sol...

✓Glassdoor: http://www.glassdoor.com/Overview/Working-at-Rising-Medical-Solutions- EI_IE322608.11,35.htm pages

Requirements

~1 min read

An RN License preferably in a compact state
California RN license a plus
Full Time – 9:00am CST to 5:30pm CST, with the ability to flex time based on the jurisdiction
Strong computer skills required – Microsoft Suite (Outlook, Excel, Word, etc.)
At least 3 years of TCM experience preferred

Experience with Workers’ Compensation or Disability Management
The ability to maintain confidentiality of all information, policies, and procedures
The ability to set priorities and work both autonomously and as part of a team
Demonstrated sensitivity to culturally diverse people and situations
Well-developed time management, organization, and prioritization skills
Knowledge of utilization management, case management, and healthcare provided throughout the health continuum
Excellent oral and written communication skills with a heavy focus on customer-service
The ability to gather data, compile information, and prepare summary reports
Strong interpersonal and conflict resolution skills
Experience in a fast-paced, multi-faceted environment
Demonstrated persistence and attention to detail
The ability to stay calm during stressful situations
Having your BSN, CCM, and/or any other insurance/workers’ compensation certifications is a huge plus!
Associate degree