Telephonic Case Manager

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

📋 Description

• Collaborate with injured employees, employers, and healthcare providers to develop effective case management strategies.

• Support medical recovery and a successful return to work through advocacy, effective communication, and the coordination of healthcare services.

• Utilize medical, clinical, or rehabilitation expertise to manage intricate medical conditions, treatment plans, and recovery processes.

• Conduct initial and ongoing clinical evaluations via telephone.

• Assess injuries, medical treatments, psychosocial needs, cultural factors, and support systems.

• Foster communication and build relationships with claims examiners, clients, injured workers, attorneys, and supervisors.

• Identify obstacles related to delayed recovery or return to work and formulate actionable solutions.

• Negotiate treatment plans and disability durations with providers, adhering to medical and disability duration guidelines.

• Discover opportunities to expedite care for cost management and prompt medical recovery.

• Suggest alternative clinical resources to assist in claim resolution.

• Uphold client privacy and confidentiality while advocating for client safety.

• Comply with ethical, legal, accreditation, and regulatory standards.

⛳️ Requirements

• A current unrestricted RN license(s) in a state or territory of the United States is required.

• A Bachelor's degree in nursing (BSN) from an accredited college or university or equivalent work experience is preferred.

• Certification in case management, rehabilitation nursing, or a related specialty is highly preferred.

• Possession of medical, clinical, or rehabilitation knowledge and experience.

• Capability to manage work-related stress and multiple priorities simultaneously.

• Ability to meet deadlines effectively.

• Strong clear and conceptual thinking abilities.

• Excellent judgment, troubleshooting skills, problem-solving abilities, analysis, and discretion.

• Proficient computer keyboarding skills.

• Ability to hear, see, and communicate effectively.

🏝️ Benefits

• Flexibility and autonomy in the work environment.

• Opportunities for professional development.

• Continuing education credits available.

• Team-building initiatives to foster collaboration.

• A diverse and comprehensive benefits package.

• Medical, dental, and vision insurance coverage.

• 401(k) plan with matching contributions.

• Paid time off (PTO) benefits.

• Disability and life insurance options.

• Employee assistance program provided.

• Flexible spending account or health savings account options.

• Additional voluntary benefits available.

• Reasonable accommodations provided when applicable and appropriate.