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As a Telephonic Nurse Case Manager, you will assess, plan, coordinate, monitor, evaluate and implement options and services to facilitate timely medical care and return to work outcomes of injured workers.
- Coordinate and implement medical case management to facilitate case closure
- Assess appropriate utilization of medical treatment and services available through contact with physicians and other specialist to ensure cost effective quality care
- Review and analyze medical records and assess data to ensure appropriate case management process occurs while providing recommendations to achieve case progress and movement to closure
- Responsible for assigned caseloads, which may vary in numbers, territory and/or by state jurisdiction
- Acquire and maintain nursing licensure for all jurisdictions as business needs require
- Coordinate services to include home services, durable medical equipment, IMEs, admissions, discharges, and vocational services when appropriate and evaluate cost effectiveness and quality of services
- Document activities and case progress using appropriate methods and tools following best practices for quality improvement
- Coordinate job analysis with employer to facilitate return to work
- Engage and participate in special projects as assigned by case management manager
- Occasionally attend on site meetings and professional programs
- Review job analysis with physicians
- Foster a teamwork environment
- Maintaining and updating the Official Disability Guidelines (ODG) in reference to the injured worker status
As a Telephonic Nurse Case Manager, you will assess, plan, coordinate, monitor, evaluate and implement options and services to facilitate timely medical care and return to work outcomes of injured workers.
- Coordinate and implement medical case management to facilitate case closure
- Assess appropriate utilization of medical treatment and services available through contact with physicians and other specialist to ensure cost effective quality care
- Review and analyze medical records and assess data to ensure appropriate case management process occurs while providing recommendations to achieve case progress and movement to closure
- Responsible for assigned caseloads, which may vary in numbers, territory and/or by state jurisdiction
- Acquire and maintain nursing licensure for all jurisdictions as business needs require
- Coordinate services to include home services, durable medical equipment, IMEs, admissions, discharges, and vocational services when appropriate and evaluate cost effectiveness and quality of services
- Document activities and case progress using appropriate methods and tools following best practices for quality improvement
- Coordinate job analysis with employer to facilitate return to work
- Engage and participate in special projects as assigned by case management manager
- Occasionally attend on site meetings and professional programs
- Review job analysis with physicians
- Foster a teamwork environment
- Maintaining and updating the Official Disability Guidelines (ODG) in reference to the injured worker status