Telephonic Case Manager (RN) - Compact License - REMOTE!
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EK Health Services Inc.
Tucson, AZ, US
Summary
The Case Manager assesses, plans, and coordinates medical care for injured workers to ensure cost-effective treatment and timely return to work. They act as a liaison between medical providers, employers, and claims examiners to monitor and implement comprehensive care plans.
Job Description
Description
EK Health is now hiring for a Full-Time Telephonic Nurse Case Manager (RN) for our Case Management Team! This role includes assessing, planning, implementing, coordinating, and evaluation of service options. The goal of the Case Manager is to assist the injured worker in receiving appropriate, cost-effective medical care for their injury in a timely manner, and to expedite their return to work.
Position Logistics: Monday – Friday, 8:30am -5:30pm local time, Full-time Remote.
NOTE: Requires a Compact RN license in good standing. Workers Compensation experience is preferred but not required.
Wage is based on experience, education, certifications and location (may be either hourly or salary based on individual state requirements). Will be required to obtain a CA RN license.
Benefits & Perks:
- Base pay $35-42/hr ($72,800 - $87,360 annually). Wage is based on experience, education, certifications and location (may be either hourly or salary based on individual state requirements).
- Medical, Dental and Vision Insurance
- 401K
- Paid Time Off
- Paid holidays
- Equipment is provided
- Monthly internet stipend
Here’s a snapshot of what you’ll be doing (not all-inclusive):
- Communicate with medical providers, employers and with injured workers
- Perform a complete nursing evaluation to determine needs of patient
- Review and evaluate all medical correspondence, provider reports, & treatment plan history
- Evaluate clinical status of claimant and research for alternative options to treatment as warranted
- Communicate with the claims examiners regarding directives, and provide updates on file status
- Arranging transportation services when necessary and authorized
- Evaluating therapy facilities and their progress on specific cases
- Prepare comprehensive notes following any discussions had with injured worker, medical providers, claims examiners, and employers in the case file
- Discuss the analyzed data and the comprehensive plan of care with the insurance representative prior to implementation
- Upon authorization, implement this plan of care with patient, physician and health care providers
- Arrange for care/services as needed (home care, procedures, medication, equipment or supplies)
- Monitor the plan of care with modifications or changes suggested to the patient and physician as the need arises
- Coordinate information between all parties (injured worker, physicians, employer, other providers, such as therapists, and attorney, if any is involved)
Requirements
- Graduate of an accredited school of nursing
- 3-5 years clinical experience as an RN outside of school
- Valid Compact RN license in good standing with no restrictions
- Valid state-appropriate RN license in good standing with no restrictions
- Will be required to obtain CA RN License within 90 days (reimbursed)
- Possesses and can demonstrate the professional and technical skills of a Registered Nurse
- Experience in Case Management, Workers' Compensation experience preferred, but not required
- Experience in Home Health Care, Occupational Health considered a plus
- Excellent Written and Oral Communication Skills
- Excellent Interpersonal & Organizational Skills
- High comfort level with computers and computer programs (MS Word, MS Excel, Email)
EK Health Services Inc. is a leading national workers’ compensation managed care organization. EK Health partners with companies, insurers, healthcare professionals, and patients to successfully resolve and simplify the complex issues surrounding work comp healthcare. With a complete line of managed care solutions, EK Health sets the gold standard for early intervention, medical case management, utilization and peer review, medical bill review, network management, clinical specialty programs, preventative ergonomics, interpretation and translation, vocational rehabilitation, and medicare set-aside.
Striving to transform the managed care industry, EK Health is focused on restoring quality of life for injured workers through innovative, cost-effective solutions. Clients trust us to provide services with high-touch experiences, customizable and nimble solutions, lower costs, and proven results. Our holistic approach integrates the best people, processes, and technology to facilitate the best medical treatment available for return-to-work possibilities.
Founded
1998
Company size
201-500 employees
Industry
Hospitals and Health Care
Org type
Privately Held
Headquarters
San Jose, CA
EK Health Services Inc. is a leading national workers’ compensation managed care organization. EK Health partners with companies, insurers, healthcare professionals, and patients to successfully resolve and simplify the complex issues surrounding work comp healthcare. With a complete line of managed care solutions, EK Health sets the gold standard for early intervention, medical case management, utilization and peer review, medical bill review, network management, clinical specialty programs, preventative ergonomics, interpretation and translation, vocational rehabilitation, and medicare set-aside.
Striving to transform the managed care industry, EK Health is focused on restoring quality of life for injured workers through innovative, cost-effective solutions. Clients trust us to provide services with high-touch experiences, customizable and nimble solutions, lower costs, and proven results. Our holistic approach integrates the best people, processes, and technology to facilitate the best medical treatment available for return-to-work possibilities.
Founded
1998
Company size
201-500 employees
Industry
Hospitals and Health Care
Org type
Privately Held
Headquarters
San Jose, CA