Medical Case Manager I

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

📋 Description

• Deliver Medical Case Management services both in-person and via phone for injured workers.

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

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

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

• Assess, strategize, implement, and evaluate patient progress effectively.

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

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

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

• Assess the appropriateness of care and devise effective long-term care strategies.

• Conduct home visits for initial patient evaluations.

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

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

• Carry out additional responsibilities as needed.

⛳️ Requirements

• Must hold a Registered Nurse (RN) designation.

• Graduate from an accredited nursing program.

• Current RN Licensure in the relevant state of practice.

• Possess a valid driver’s license.

• Have reliable transportation.

• Capability to travel to assigned locations as necessary.

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

• Capacity to meet with patients, healthcare providers, attorneys, clients, and colleagues effectively.

• Excellent interpersonal, time management, and organizational skills.

• Proficiency in computer use and technical skills.

• Competence in Microsoft Office, including Excel.

• Ability to work autonomously as well as collaboratively within a team.

• Experience as an RN Medical Case Manager is highly desirable.

• A clinical background in orthopedics, neurology, or rehabilitation is preferred.

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

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

• Willingness to travel locally up to approximately 60% of the work week/month.

• Availability to work Monday through Friday during standard business hours.

• Ability to work remotely and while traveling.

• Readiness to undertake overnight travel if necessary.

🏝️ Benefits

• Medical insurance (HDHP) including Pharmacy coverage.

• Dental insurance.

• Vision insurance.

• Long Term Disability coverage.

• Health Savings Account options.

• Flexible Spending Account options.

• Life Insurance.

• Accident Insurance.

• Critical Illness Insurance.

• Pre-paid Legal Insurance.

• Parking and Transit FSA accounts.

• 401K plan.

• ROTH 401K plan.

• Paid time off.

• Eligibility for bonuses.

• Access to state-of-the-art technology.

• Opportunities for career advancement.

• A supportive workplace culture.

• Equal Opportunity Employer.

• Drug-free workplace environment.