Onsite Medical Case Manager (RN)
Location: Las Vegas, Nevada
Description: GENEX Services, Inc. is hiring Onsite Medical Case Manager (RN) right now, this occupation will be designated in Nevada. More details about this occupation opportunity kindly see the descriptions. We are currently seeking a Medical Nurse Case Manager (RN) to work on-site at a client location in Las Vegas, NV. This client is a a member of the Fortune 500 and is a leader in the global ho! spitality industry.
Responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Working as an intermediary between carriers, attorneys, medical care providers, employers and employees, you will closely monitor the progress of the injured worker and report results back to the employer and insurance carrier. This will ensure appropriate and cost-effective healthcare services leading to a medically rehabilitated individual who is ready to return to an optimal level of work and functioning.
Main responsibilities will include but are not limited to:
- Using clinical/nursing skills to help coordinate the individual's treatment program while maximizing cost containment.
- Explaining physician's and therapists' instructions, and answers any other questions the claimant may have in an effort to facilitate his/her return to work.
- W! orking with the physicians and therapists to set up medical as! sessments to develop an overall treatment plan that ensures cost containment while meeting state and other regulator's guidelines.
- Researching alternative treatment programs such as pain clinics, home health care, and work hardening.
- Coordinating all aspects of the individual's enrollment into the programs, and then monitors his/her progress, in an effort to maximize cost containment and minimize time away from work.
- Working with employers on modifications to job duties based on medical limitations and the employees functional assessment.
- May provide testimony on litigated cases.
- Coordinating injured workers' appointments and arranges.
- Documenting and reporting all case activity for accurate case management and billing procedures.
- Preparing detailed evaluation reports, as per account guidelines, and case recording documenting for each phase of activity as it is completed.
- Reporting billing hours in acco! rdance with case activity and billing practices.
- Maintaining phone contact with all parties involved to monitor, update, and advance case activity to ensure the progress of the case.
- Compiling a case inventory on a monthly basis for submission to the branch manager to allow for proper billing and to calculate hours for bonus purposes.
- Completing insurance carrier reports on a monthly (or as required) basis, as well as other necessary paperwork for the insurance company, state, or other regulatory bodies.
- Maintaining the necessary credentials and demonstrates a level of professionalism within the work place and in dealing with injured workers reflects positively on the company as a whole.
- Acquiring and maintaining knowledge of developments in the medical case management field.
- Keeping abreast of local workers' compensation laws and regulations, as well as other issues related to the case management/managed care industry.
- Diploma, Associate or Bachelor's degree in nursing or Bachelor! 's degree (or higher) in a health or human services related field required.
- Minimum of two (2) years full time equivalent of direct clinical care to consumers required. Case Management and/or Workers' compensation-related experience strongly preferred.
- Registered nurse with current, valid state licensure required.
- Excellent interpersonal skills, phone manners and organizational skills are essential. This position is client-facing and on-site so customer care is essential!
- Occupational Heath experience strongly preferred.
- Must be eligible to sit for CCM certification
- Experience in rehabilitation services industry, vocational/ occupational/ industrial nursing preferred.
- Background in state workers' compensation law and practices desirable.
- Masters level and/or advanced study in a health-related field desired.
- Must be proficient in Microsoft Office suite with such programs as Word and Excel as wel! l as have experience with internet searches and a comfort level with other software programs.
- Ability to set priorities and work independently is essential.
- Spanish speaking ability a plus!
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If you were eligible to this occupation, please email us your resume, with salary requirements and a resume to GENEX Services, Inc..
Interested on this occupation, just click on the Apply button, you will be redirected to the official website
This occupation will be started on: Sun, 12 May 2013 10:20:19 GMT
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