Medical Case Manager I

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

📋 Description

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

• Collaborate with patients, their families, physicians, healthcare providers, employers, referral sources, attorneys, clients, and team members.

• Leverage medical and nursing expertise to discuss treatment and alternative plans with physicians.

• Assess, plan, implement, and monitor patient progress effectively.

• Review treatment plans for their appropriateness, medical necessity, and cost-effectiveness.

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

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

• Conduct home visits for initial assessments.

• Facilitate the delivery of durable medical equipment and nursing services through negotiation.

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

• Travel locally for approximately 60% of the work week/month, with potential overnight travel.

• Undertake additional responsibilities as required.

⛳️ Requirements

• Must be a Registered Nurse (RN).

• Graduate from an accredited nursing school.

• Current RN Licensure in the state of operation is essential.

• Ideal candidates will have experience as an RN Medical Case Manager or a clinical background in orthopedics, neurology, or rehabilitation.

• Certification as a CCM, CIRS, or another Case Management certification is preferred.

• Must possess a valid driver’s license, reliable transportation, and the ability to travel to designated locations.

• Capability to interact with patients, physicians, healthcare providers, attorneys, advisors/clients, and colleagues.

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

• Excellent interpersonal, time management, and organizational skills.

• Proficient with computers and possess technical skills, including Microsoft Office and Excel spreadsheets.

• Ability to work autonomously as well as collaboratively in a team setting.

• Background in cost containment, such as utilization review or managed care, is advantageous.

🏝️ Benefits

• Eligibility for bonuses for Medical Case Managers.

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

• Comprehensive benefits package for full-time regular employees, which includes Medical (HDHP) with Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

• Opportunities for career advancement.

• A supportive work culture.