Nurse Case Manager - Workers Compensation (closed)
The Workers Compensation (field) Case Manager's goal is to provide a collaborative process to assess, plan, implement, coordinate, monitor and evaluate return to work options. Additionally, to meet the individual medical and vocational needs through communication with the patient, their medical providers, employer and carrier as needed to promote quality and providing cost effective outcomes.
The Case Manager needs to live in or close to Sarasota / Fort Myers / Naples, FL.
Provide Case Management services to various injured workers focused on quality and cost effectiveness. These services include insuring communications and coordinating benefits at the onset of injury/illness. The case manager must ensure that patients will receive adequate and timely support to assure quality diagnoses and treatment plans; patient conformance with treatment plans; satisfactory rate of recovery; and, when applicable, return to work on undefined or accommodated duty as therapeutically indicated.
·Use case management skills to help coordinate the patient?s individual treatment plan while maximizing cost containment.
·Educate the patient on his/her injury/disability and the treatment plan established by physician. Explain Physician?s and Therapist?s instructions and answer additional questions the employee may have to facilitate his/her return to work
·Work with Physicians and other treatment providers to coordinate an overall treatment plan to ensure cost containment and best medical care while meeting state and other regulatory guidelines.
·Research and assess alternative treatment programs such as pain clinics, home healthcare, work hardening as well as coordinate with possible Wellness Program.
·Work with employer to identify and develop transitional / modified duty based on medical limitations and employee?s functional abilities as outlined by treating physician. Assist in development of transitional work programs where able in effort to return employee to work per physician direction
·Provide expert testimony on litigated cases as needed.
·Coordinate patients appointments and arranges services to assist with compliance (i.e. Transportation/Translation) when directed by account
·In the event that the employee is unable to return to work with modifications, case manager will coordinate the employee?s vocational rehabilitation to prepare him or her for suitable reentry into the workplace based on independent, professional decision making skills.
·Experience communicating with patients, employers, medical professionals, carriers, legal professionals and supervisors.
·Ability to form and maintain working relationships with accounts, employers, patients, healthcare professionals, vendors, legal professionals and community medical team.
·Working knowledge of SSDI, rehabilitation, disability (STD & LTD), medical and workers? compensation benefits.
·Formal knowledge of medical/rehabilitation case management as manifested by a degree (or acceptable equivalent) as a Rehabilitation Counselor with a CRC and/or Registered Nurse, with a CCM (the following may be considered COHN, CRRN, or CDMS), as well as two years of experience in Field Case Management.
·Aptitude to create and follow administration, communication and information systems.
·Solid computer literacy.
Our Client is an industry leading disability management firm that services the needs of TPAs, Insurance Companies, Self-Insured firms. Our client has grown at over 30% for 3 consecutive years and is rapidly becoming the most well-known name in Case Management.
Client has a fantastic atmosphere/culture and offers a very strong compensation plan inclusive of home office set up (phone, laptop computer, internet and cell phone). They also have great benefits and many other perks.