Telephonic Case Manager

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

📋 Description

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

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

• Conduct initial and ongoing clinical assessments via telephone.

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

• Foster relationships and communicate effectively with claims examiners, clients, injured workers, attorneys, and supervisors.

• Identify challenges related to delayed recovery or return to work.

• Utilize a creative-thinking approach to problem-solving.

• Negotiate treatment plans and disability durations with providers based on medical and disability duration guidelines.

• Discover opportunities to streamline care for cost efficiency and timely medical recovery.

• Suggest alternative clinical resources to aid in claim resolution.

• Uphold client privacy and confidentiality, advocate for client safety, and comply with ethical, legal, accreditation, and regulatory standards.

⛳️ Requirements

• Must possess a current unrestricted RN license(s) in a state or territory of the United States.

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

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

• Relevant medical/clinical or rehabilitation knowledge and experience required.

• Capability to manage complex medical conditions, treatment planning, and recovery processes from illness or injury.

• Ability to collaborate with injured workers, employers, medical providers, claims examiners, clients, attorneys, and supervisors.

• Familiarity with medical and disability duration guidelines.

• Commitment to adhering to ethical, legal, accreditation, and regulatory standards.

• Proficient in maintaining privacy and confidentiality.

🏝️ Benefits

• Flexible remote work environment.

• Autonomy and flexibility in daily tasks, location, and career progression.

• Opportunities for professional development.

• Continuing education credits available.

• Team-building initiatives.

• Comprehensive medical, dental, and vision benefits.

• 401(k) plan with matching contributions.

• Paid time off (PTO).

• Disability and life insurance options.

• Employee assistance program.

• Flexible spending account or health savings account options.

• Additional voluntary benefits available.