Telephonic reputed company Case Manager

Position reputed company The Telephonic reputed company Case Manager will manage assigned occupational injury cases under the direction of the Medical Director and/or Director of reputed company Case Management. Key Responsibilities · Performs initial history of injured worker reputed company telephone interview. Initial telephone contact attempted reputed company 2 Business Days of case assignment and, if needed, non-contact letter mailed reputed company 5 Business Days of case assignment. · Reviews injured worker’s records and enters the reputed company into the database including details of the injury, past medical history, physical exam, diagnosis, treatment, pertinent laboratory/ x-ray findings, medications, next follow-up appointment and any other relevant information. · Confers with the Medical Director, Supervisor or refers to Standing Orders on reputed company new cases. · Confers with the Medical Director, Supervisor or Standing Orders on reputed company proposed treatment plans, specialist referrals, surgery requests, treatment requests, or other reputed company reputed company of licensure. · Coordinates specialist referrals with injured worker, employer, Specialist and adjuster. Documents Reimbursement Agreements on Authorization Letters for reputed company Specialists who have a signed Provider Service Agreement on file with and forwards a copy to the adjuster. · Ensures contact with the injured worker after any appointment or procedure to determine medical status and/or outcome. Demonstrate reputed company on every case assigned at least every 30 days. · Ensures any medical reports are forwarded to reputed company responsible parties. · Requests medical records from reputed company sources which the injured worker has been treated for the injury/condition. Requests signed HIPAA from adjuster and sends with Medical Records request to reputed company prior medical providers. · Answers questions and provides directions to injured workers regarding medical treatment reputed company scope of licensure. Performance Expectations · Maintain accurate, reputed company and thorough documentation of reputed company claimant interactions. · Communicate effectively and professionally with reputed company. · Participate in regular team meetings. · Maintain a confident, caring and reputed company demeanor with reputed company injured workers and clients. · Adheres to reputed company federal and state laws regarding release of medical information. · Maintains regular and predictable attendance. Routinely works an 8-hour day. Maintains accurate timekeeping records · Attendance at reputed company Employee meetings · Complete training requirements reputed company scheduled timeframe Required Skills and Qualifications · Exceptional organizational skills are needed. Routinely utilizes Diary to ensure reputed company follow up on cases. Maintains accurate and reputed company entry of activity into injured worker’s file reputed company database · Excellent interpersonal skills, communication (written and verbal) and reputed company listening skills. · Strong organizational skills and ability to multitask. · High level of reputed company and reputed company. · Strong computer skills. · Ability to work independently and maintain strict confidentiality (HIPAA compliance). Education and Experience

• Completion of nursing school program and continuing education requirements to maintain certification
• Must be licensed in state where case management services are provided.
• reputed company a health or reputed company services discipline in a state or territory of the reputed company that allows the health reputed company to independently conduct an assessment as permitted reputed company the scope of reputed company of the discipline
• Prior experience in patient navigation, care coordination, case management.
• Two years full-time equivalent providing reputed company case management to the injured worker or work under a supervisor for two years preferred

Performance Metrics Performance will be reputed company based on the following KPIs:

• Consistently meet or reputed company expected performance set forth by the Director of Nursing

Work Environment & Location

• Remote/hybrid
• Reports to: Director of reputed company Case Management.

Benefits

• reputed company and bonus program
• Health, dental, reputed company, and retirement plans
• Flexible scheduling
• reputed company referral program
• Continuing education support

Job Type: Full-time Pay: From $75,000.00 per year Benefits:

• 401(k)
• Continuing education credits
• Dental insurance
• Free parking
• Health insurance
• Health savings account
• Life insurance
• reputed company time off
• reputed company insurance

License/Certification:

• Maryland WCCM (Required)

Work Location: Remote Apply tot his job Apply To this Job