Medical Case Manager

This is a fully remote position, open to applicants in Hawaii.

📋 Description

• Deliver both in-person and telephonic Medical Case Management services.

• Collaborate closely with injured workers to aid their recovery process.

• Partner with patients, families, medical professionals, employers, referral sources, attorneys, clients, and colleagues.

• Discuss current and alternative treatment plans with healthcare providers.

• Assess, strategize, implement, and monitor patient progress.

• Review treatment plans for relevance, medical necessity, and cost efficiency.

• Participate in visits with doctors, providers, at home, and occasionally with attorneys.

• Attend discharge planning conferences at hospitals and long-term care facilities.

• Evaluate the suitability of care and create effective long-term care plans.

• Conduct initial evaluations through home visits.

• Negotiate the provision of durable medical equipment and nursing services.

• Manage a caseload of workers' compensation injured workers within a specified jurisdiction.

• Travel locally and possibly overnight based on the needs of injured workers.

• Undertake additional responsibilities as necessary.

⛳️ Requirements

• Must be a Registered Nurse (RN).

• Graduate from an accredited nursing school.

• Current RN Licensure in the state of practice.

• Possess a valid driver's license.

• Have reliable means of transportation.

• Capacity to travel to designated locations.

• Ability to travel locally for approximately 60% of the work week/month.

• Overnight travel may be necessary.

• Proficient in computer skills and technical capabilities, including Microsoft Office and Excel spreadsheets.

• Strong communication and multitasking abilities in a high-volume, fast-paced, team-oriented setting.

• Excellent interpersonal, time management, and organizational skills.

• Capability to work independently as well as part of a team.

• Experience as an RN Medical Case Manager is advantageous.

• Clinical expertise in orthopedics, neurology, or rehabilitation is preferred.

• A background in cost containment, such as utilization review or managed care, is beneficial.

• Certification as a CCM, CIRS, or other Case Management credentials is preferred.

🏝️ Benefits

• Medical (HDHP) with Pharmacy coverage.

• Dental insurance.

• Vision insurance.

• Long-term disability coverage.

• Health Savings Account.

• Flexible Spending Account options.

• Life insurance.

• Accident insurance.

• Critical illness insurance.

• Pre-paid legal insurance.

• Parking and transit FSA accounts.

• 401K plan.

• ROTH 401K option.

• Paid time off.

• Eligibility for bonuses.

• Access to state-of-the-art technological devices.

• Opportunities for career advancement.

• Option to work from home.