Registered Nurse Case Manager REMOTE - Case Management

Registered Nurse Case Manager REMOTE

Overview Please be advised, if you are viewing this position on Indeed, that the salary rate/range set forth herein was provided by Indeed. Concentra's market specific rate/range will be provided during the interview process. JOB SUMMARY The On-site Workers Compensation Case Manager assesses the medical components of injured workers. Situation including, but not limited to, prior authorization, determination of appropriate level of care, utilization of services, concurrent review, retrospective review, development of discharge plans, assurance of quality and cost effectiveness. Acts as a liaison among patient/family, employer, insurance company, and health-care personnel to ensure necessary care is provided promptly and effectively to restore injured workers function, capacity and self-esteem. Remote position with occassional trips to the client's locations nationally. Schedule M-F 8a-5p with flexibility Responsibilities MAJOR DUTIES AND RESPONSIBILITIES: * Assesses and analyzes injured workers medical status and develops a viable, realistic service plan. * May meet with clients in their homes, work-site or physician's office to provide ongoing case management services.Develops a plan of care for patients from admission to discharge. * Monitors patient progress toward desired outcomes through assessments and evaluations. * Communicates both in-person and telephonically with client, medical providers, attorneys, employers, insurance carriers, etc. * Develops and administers education and prevention programs. * Develops guidelines for working with patients, health-care management companies, insurance companies or other third party payers to determine quality, cost-effective care. * Applies all special instructions required by individual insurance carriers and referral sources. * Applies all laws and regulations that apply to the provision of rehabilitation services. * Testifies when called upon to do so, to substantiate any casework or reports that may be seen as relevant to hearing involving client. * Evaluates outcome of patient care. * Prepares reports and other required paperwork as documentation of all casework activities. * May arrange referrals, consultations, therapeutic services, and confers with other specialists on course of care and treatment. * Attends staff meetings. * May participate in sales activities. * Performs other duties as assigned * OHC preferred (Occupational Health Nurse Certification) Qualifications EDUCATION/CREDENTIALS: * Licensed RN in accordance with state laws of jurisdictionObtaining and maintaining CCM, CDMS or CRRN designations are encouraged; these designations are required where dictated by state regulations. JOB-RELEVANT EXPERIENCE: * 12 months workers compensation case management and/or occupational health nurse experience. JOB-RELATED SKILLS/COMPETENCIES: * Knowledge of laws and regulations that govern delivery of rehabilitation services and occupational health nursing. * Knowledge of workers compensation and disability case management industry. * Knowledge of human behavior and performance. * Customer and personal service knowledge including needs assessment, meeting quality standards for services and evaluation of customer satisfaction. * Education and training. * Reading comprehension * Judgment and decision making * Critical thinking * Active listening * Speaking to effectively convey information to supervisors, peers, and customers * Instructing skills to teach others * Use of scientific rules and methods to solve problems * Problem sensitivity * Manual dexterity * Deductive reasoning * Social perceptiveness * Service orientation * Documenting and recording information * Reliable transportation and current driver's license * Ability to meet deadlines * Computer literate * Thoroughly developed time management and organizational skills. * Ability to work without direct supervision WORKING CONDITIONS: * Clinic environment Additional Data BENEFITS SUMMARY: * 401(k) with Employer Match * Medical/Vision/Prescription/Dental Plans * Life Insurance/Disability * Paid Time Off * Colleague Referral Bonus Program This job requires access to confidential and sensitive information requiring on going discretion and secure information management. Concentra is an Equal Opportunity Employer, including disability/veterans