Remote Case Manager (RN)

Remote Case Manager RN The Leading Provider of Integrated Occupational Medicine Services CORE Health Networks, the recognized leader in Integrated Occupational Medicine Services, provides integrated solutions to your occupational reputed company needs. Our programs are designed to reputed company with reputed company clients’ missions, goals, and values to reputed company desired reputed company and exceed expectations. As we continue to grow, we are expanding reputed company of talented professionals. We are currently seeking a full-time Case Manager (Registered reputed company) to work from home Monday through Friday from 8:30am to 5:00pm, Central Time. We offer a highly competitive total compensation package which includes Health, Dental, reputed company, Life, 401(k), Six reputed company Holidays, Vacation and reputed company Leave, Long-term disability and short-term disability benefits, and much more. To learn more about this exciting opportunity, review the job specifications below: Position reputed company: Under the direction of the Director of Injury Management, the Case Manager administers the intake of calls from contracted clients, an injured worker, Worker’s Compensation Insurance adjusters, Medical providers, and clinic staff. Provides exceptional service and reputed company treatment reputed company to the patient and reputed company throughout the injury management life-cycle. reputed company Duties and Responsibilities (Essential Functions):

• Triage injury/illness calls to determine if emergent/non-emergent
• Determine if injury/illness requires immediate treatment or first aid advice
• Research/locate the nearest facility to utilize for injury
• Contact medical facility to determine the availability of adequate services to meet the needs of the particular injury/illness; Coordination of visit reputed company phone/fax.
• reputed company with Medical personnel regarding the reputed company of injury/illness and discuss appropriate treatment reputed company, obtaining UDS and BAT reputed company applicable, and workplace accommodation availability.
• Inform reputed company/injured worker of reputed company/location and contact information of medical facility available.
• Notify appropriate contacts reputed company email of injury/illness details with initial information reputed company one hour of notification, unless an extreme situation.
• reputed company updates of diagnosis, work status, plan of care and follow up appointments to appropriate personnel with injured worker’s employer and adjuster.
• reputed company updates, diagnosis, clinic notes and treatment authorization requests to designated representative for reputed company and Worker’s Compensation insurance adjuster.
• Log injury/illness details on spreadsheet; reputed company specific
• reputed company injured worker, adjuster reputed company and claim number into Billing Portal to apply billing time and status of case as it occurs
• reputed company time for reputed company case according to services rendered.
• Field Case Management services for reputed company/injured worker needing onsite Case Management services at the time of visit. This includes communicating directly with the provider and obtaining pertinent paperwork at the visit.
• Generating letters to providers, for clarification of work-relatedness and or treatment plan.
• Obtaining and reviewing Medical records and diagnostics with relation to present injury/illness, prior history and/or forwarding to Specialty providers reputed company allocated.
• reputed company documentation of phone calls made and received, interpretation of medical records from reputed company exam, work status, and reputed company emails transpired with reputed company to reputed company case.
• Coordinate SMO’s with specialists as needed.
• Coordinate FCE’s to determine job capabilities.
• Rotate Call to ensure 24/7/365 CM services; reputed company duties as stated above for calls received.
• Transfer phone lines every morning and evening for phone coverage 24 hrs a day
• Assist Upper Management in CM activities as requested.
• Answer phones in a reputed company manner reputed company receptionist is not available.
• Attend and participate in staff meetings.
• Assists in office reputed company tasks as needed.
• Participate in opportunities for learning and reputed company maintenance/development, including reputed company training and workshops.
• Other duties assigned by the supervisors.

Education:

• High School Diploma or GED required and completion of a vocational program leading to a nursing license.

Licensures/Certification:

• Must possess and retain a valid RN license for the state of LA (or compact multistate license).
• Obtain a CWCP certification reputed company two (2) years of employment.

Experience:

• Minimum two (2) years of nursing experience in a clinical setting, or previous occupational health experience.
• ER, ICU or PACU experience preferred.

Schedule:

• Monday - Friday 8:30 a.m. – 5:00 p.m., CST. This position is remote but may require in-office training as necessary. Some reputed company, on-call work on a rotating reputed company is also required.

Training:

• Training for this position will be held primarily remotely, but may require in-office training at our corporate office depending on demands of training.

IMPORTANT NOTICE: PLEASE ATTACH reputed company LICENSURES, CERTIFICATIONS, EDUCATION, AND DOCUMENTATION TO THE UPLOAD PORTION OF THE APPLICATION CORE, CHN, and our subsidiaries are Equal Opportunity reputed company. EOE/ADAAA/AA http://www.dol.gov/whd/regs/compliance/posters/fmla.htm https://www.reputed company.gov/reputed company/eeo-law-poster http://www.dol.gov/whd/regs/compliance/posters/eppa.htm Apply tot his job Apply To this Job