Medical Case Manager II

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

📋 Description

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

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

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

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

• Discuss existing and alternative treatment plans with physicians.

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

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

• Participate in visits or conferences at doctors’ offices, providers, homes, attorney offices, hospitals, and long-term care facilities.

• Assess the appropriateness of care and develop strategies for long-term care.

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

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

• Carry out additional duties as necessary.

⛳️ Requirements

• Must hold a valid registered nurse license.

• Must live in the Tacoma/Olympia region of Washington.

• Reliable form of transportation is required.

• Experience as an RN Medical Case Manager is preferred.

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

• Graduate from an accredited nursing school is necessary.

• Current RN Licensure in the state of practice is required.

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

• Valid driver’s license is required.

• Capability to travel to assigned locations is essential.

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

• Excellent interpersonal, time management, and organizational skills are necessary.

• Proficiency with computers and technical skills are expected.

• Ability to use Microsoft Office, including Excel spreadsheets, is required.

• Must be capable of working both independently and as part of a team.

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

🏝️ Benefits

• Medical (HDHP) with Pharmacy.

• Dental insurance.

• Vision insurance.

• Long Term Disability coverage.

• Health Savings Account.

• Options for Flexible Spending Accounts.

• 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.

• Work from home flexibility.