Medical Case Manager I

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

📋 Description

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

• Collaborate closely with injured workers to promote their recovery.

• Work in conjunction with patients, families, medical professionals, team members, employers, referral sources, attorneys, and other relevant parties.

• Engage in discussions regarding current and alternative treatment strategies with physicians, leveraging medical and nursing expertise.

• Evaluate, plan, implement, and monitor patient progress.

• Assess treatment plans for suitability, medical necessity, and cost-effectiveness.

• Participate in visits to doctors, providers, homes, and occasionally meet with attorneys.

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

• Conduct home evaluations for initial assessments.

• Coordinate the delivery of durable medical equipment and nursing services.

• Oversee a caseload of workers’ compensation injured workers within a specific jurisdiction.

• Adhere to safety regulations and guidelines.

• Carry out additional responsibilities as needed.

⛳️ Requirements

• Must be a Registered Nurse (RN).

• Graduate from an accredited nursing school.

• Hold current RN Licensure in the state of employment.

• Possess a valid driver’s license.

• Have reliable transportation.

• Capability to travel to designated locations.

• Experience as an RN Medical Case Manager is preferred, or a clinical background in orthopedics, neurology, or rehabilitation is favored.

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

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

• Excellent interpersonal, time management, and organizational skills.

• Proficiency in computer usage and technical skills.

• Ability to use Microsoft Office, including Excel spreadsheets.

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

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

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

🏝️ Benefits

• Medical (HDHP) with Pharmacy coverage.

• Dental insurance.

• Vision insurance.

• Long Term Disability insurance.

• Health Savings Account options.

• Flexible Spending Account alternatives.

• Life Insurance.

• Accident Insurance.

• Critical Illness Insurance.

• Pre-paid Legal Insurance.

• Parking and Transit FSA accounts.

• 401K and ROTH 401K plans.

• Paid time off.

• Eligibility for bonuses.

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

• Opportunities for career advancement.

• A supportive workplace culture.

• Recognized as a Great Place to Work® Company.