Telephonic Case Manager, RN – Compact License

🕒 6 dias atrás

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EK Health Services Inc.

SiteLinkedInTodas as Vagas

201 - 500 funcionários

Fundada em 1998

⚕️ Seguro de Saúde

📋 Conformidade

☁️ SaaS

Healthcare Insurance • Compliance • SaaS

A EK Health Services Inc. é uma empresa abrangente de gestão de saúde especializada em gerenciamento de casos, gestão de contas médicas e serviços vocacionais. Oferecem serviços como planejamento de alta, revisão de utilização, avaliações ergonômicas e serviços de reserva para Medicare, garantindo excelência e eficiência na prestação de cuidados de saúde. A EK Health está comprometida com a inovação e qualidade no atendimento, colaborando com várias organizações para aprimorar suas ofertas e apoiar funcionários lesionados.

Descrição

• 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)

🎯 Requisitos

• 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 • May be required to obtain CA RN License • 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)

🏖️ Benefícios

• Medical, Dental and Vision Insurance • 401K • Paid Time Off • Paid holidays • Equipment is provided • Monthly internet stipend