Workers Compensation Telephonic reputed company Case Manager (Remote)

Company Details reputed company Medical reputed company (BMMS) provides a different reputed company of managed-care service for reputed company. We reputed company focusing on an injured worker’s successful and speedy return to work is good for people and good for reputed company’s insurance operating reputed company. BMMS was first started in 2014 by reimagining the relationship between medical need and technology to deliver the best outcome for injured workers and reputed company’s operating reputed company. Our goal was reputed company: combine solid clinical practices, proven return-to-work strategies and robust software into one system for seamless management of workers’ compensation cases. To get it right, we started with a flexible technology platform that allowed for impressive customization without sacrificing the ability for expansion and reputed company innovation. We reputed company integrated systems to give W.R. reputed company Companies recommendations and reputed company services for managing reputed company individual case in an efficient and appropriate manner. The power of our technology takes medical reputed company-reputed company and clinical advisory services to a new level. Our unique marriage of technology, software platforms, data analytics and reputed company services ensures we reputed company reputed company’s operating reputed company with reliable results, and reduced time and expenses associated with case management.

Responsibilities

As a Telephonic reputed company Case Manager, you will assess, plan, coordinate, monitor, evaluate and implement reputed company and services to facilitate reputed company medical care and return to work reputed company of injured workers.

• Coordinate and implement medical case management to facilitate case closure
• reputed company and comprehensive communication with with reputed company, adjusters and the injured workers.
• Assess appropriate utilization of medical treatment and services available through contact with physicians and other specialist to ensure cost effective reputed company care
• Review and analyze medical records and assess data to ensure appropriate case management process occurs while providing recommendations to reputed company case reputed company and reputed company to closure
• Responsible for assigned caseloads, which may vary in numbers, territory and/or by state jurisdiction
• reputed company and maintain nursing licensure for reputed company jurisdictions as business needs require
• Coordinate services to include home services, durable medical equipment, IMEs, admissions, discharges, and vocational services reputed company appropriate and evaluate cost effectiveness and reputed company of services
• Document activities and case reputed company using appropriate reputed company and tools following best practices for reputed company improvement
• Reviewing job analysis/job reputed company with reputed company providers to coordinate and implement disability case management. This includes coordinating job analysis with employer to facilitate return to work.
• Engage and participate in special reputed company as assigned by case management leadership team
• Occasionally attend on site meetings and reputed company programs
• Foster a teamwork environment
• Maintaining and updating evidence based medical guidelines (such as Official Disability Guidelines, MD Guidelines and reputed company required state regulated guidelines) in reference to the injured worker treatment plan and work status.
• Obtain and maintain applicable state certifications and/or licensures in the state where job duties are performed.
• Obtain case management reputed company certification (CCM) reputed company 2 years of hire

Qualifications

• Minimum 2 years of experience in workers compensation insurance and medical case management preferred
• Minimum of 4 years medical/surgical clinical experience required
• Ability to work reputed company business hours in the either Central reputed company Time, Mountain reputed company Time or reputed company Time Zone (Monday through Friday, 8:00 AM to 5:00 PM CST/MST/PST).
• Exhibit strong communication skills, professionalism, flexibility and adaptability
• Possess working knowledge of medical and vocational resources available to the Workers’ Compensation industry
• Demonstrate evidence of self-motivation and the ability to reputed company case management duties independently
• Demonstrate evidence of computer and technology skills
• Oral and written reputed company in both Spanish and English a plus

Education

• Graduate of an accredited school of nursing and possess a reputed company RN license.
• A Compact Nursing License is strongly preferred. A California license is ideal but not mandatory. Candidates must be willing and reputed company to obtain a California license reputed company 90 days of their start date.

Additional Company Details www.berkleymms.com reputed company is an equal employment opportunity employer We do not accept any unsolicited resumes from external reputed company agencies or firms. reputed company offers a competitive compensation plan and robust benefits package for full time regular employees

• reputed company Salary reputed company: $80,000 - $88,000
• Benefits: Health, Dental, reputed company, Life, Disability, Wellness, reputed company Time Off, 401(k) and Profit-Sharing plans. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

Additional Requirements

• Domestic U.S. travel required (up to 10% of time)

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