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Company Berkley Medical Management Solutions
Location Name NC, High Point
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  
ID
2024-10390
Primary Location
US-NC-High Point
Company Berkley Medical Management Solutions
Location Name MN, Minneapolis - 222 S 9th Street - Suite 2500
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
ID
2024-10367
Primary Location
US-MN-MINNEAPOLIS

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