Medical Case Manager I

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

📋 Description

• Deliver both face-to-face and telephonic Medical Case Management services.

• Collaborate closely with injured workers to support their recovery journey.

• Partner with patients, families, healthcare providers, employers, referral sources, attorneys, advisors/clients, and colleagues.

• Engage with physicians to discuss current and alternative treatment plans, utilizing medical and nursing expertise.

• Assess, plan, implement, and evaluate the progress of patients.

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

• Participate in visits with doctors, healthcare providers, homes, and attorneys.

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

• Conduct home visits for initial patient assessments.

• Formulate long-term care strategies.

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

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

• Travel locally for approximately 60% of the work week/month.

• Occasionally complete overnight travel.

• Adhere to safety regulations and protocols as outlined in the Injury and Illness Prevention Program.

• Undertake additional responsibilities as needed.

⛳️ Requirements

• Must be a Registered Nurse (RN).

• Graduate of an accredited nursing program.

• Hold a current RN license in the state where services are provided.

• Prior experience as an RN Medical Case Manager is preferred, along with a clinical background in orthopedics, neurology, or rehabilitation.

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

• Possess a valid driver’s license.

• Have reliable transportation.

• Ability to travel to designated locations as needed.

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

• Strong interpersonal, time management, and organizational skills are essential.

• Proficiency in computer skills and technical aptitude, particularly with Microsoft Office and Excel spreadsheets.

• Capability to work both independently and collaboratively within a team.

• A 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 policy.

• Accident Insurance coverage.

• Critical Illness Insurance.

• Pre-paid Legal Insurance.

• Parking and Transit FSA accounts.

• 401K retirement plan.

• ROTH 401K retirement option.

• Paid time off.

• Eligibility for bonuses.

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

• Opportunities for career advancement.

• A supportive workplace culture.

• Flexible work-from-home arrangements.

• Regular business hours from Monday to Friday.