
Telephonic Case Manager, RN β Compact License
Posted Sep 4

Posted Sep 4
This is a fully remote position, open to applicants in Arizona, +1 more state.
β’ Evaluate, plan, implement, coordinate, and assess service options for injured workers.
β’ Aid injured workers in obtaining timely, appropriate, and cost-effective medical care.
β’ Facilitate the return to work for injured workers.
β’ Liaise with medical providers, employers, injured workers, claims examiners, insurance representatives, physicians, therapists, and attorneys.
β’ Conduct thorough nursing evaluations to identify patient needs.
β’ Review and assess medical correspondence, provider reports, treatment plans, and medical history.
β’ Analyze claimants' clinical status and explore alternative treatment options.
β’ Provide claims examiners with updates on case status and guidance.
β’ Organize authorized transportation services.
β’ Assess therapy facilities and monitor progress on assigned cases.
β’ Prepare detailed case-file notes.
β’ Discuss evaluated data and care plans with insurance representatives prior to execution.
β’ Execute authorized care plans in collaboration with patients, physicians, and healthcare providers.
β’ Arrange for home care, procedures, medications, equipment, or supplies as necessary.
β’ Oversee and adjust care plans in conjunction with patients and physicians.
β’ Coordinate information among injured workers, physicians, employers, therapists, attorneys, and other providers.
β’ Graduate from an accredited nursing school.
β’ 3-5 years of clinical experience as a Registered Nurse after graduation.
β’ Valid Compact RN license in good standing without any restrictions.
β’ Valid state-specific RN license in good standing without any restrictions.
β’ Must obtain CA RN License within 90 days.
β’ Demonstrated professional and technical skills of a Registered Nurse.
β’ Experience in Case Management is required.
β’ Experience in Workers' Compensation is preferred but not mandatory.
β’ Background in Home Health Care or Occupational Health is considered advantageous.
β’ Exceptional written and verbal communication skills.
β’ Strong interpersonal and organizational abilities.
β’ High proficiency with computers and software applications (MS Word, MS Excel, Email).
β’ Medical, Dental, and Vision Insurance.
β’ 401K plan.
β’ Paid Time Off.
β’ Paid holidays.
β’ Provision of equipment.
β’ Monthly internet stipend.
β’ Reimbursement for CA RN license.
Mercor
ICF
ICF
The Cigna Group
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