Field Nurse Case Manager

🕒 Setembro 23

🔔 Pennsylvania – Remoto

🔔 Pennsylvania – Remote

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

👔 Gerente

👻 Score fantasma 20%

O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Por que essa pontuação:

• Aberta há 50 dias.
• As vagas desta empresa costumam ser preenchidas em 65 dias.
• Sem salário divulgado.

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Opus Medical

SiteLinkedInTodas as Vagas

201 - 500 funcionários

🏥 Saúde

💼 Consultoria

⚖️ Jurídico

Healthcare • Consulting • Legal

A Opus Medical é uma empresa de gestão de casos médicos liderada por médicos, que oferece uma abordagem de concierge atenciosa para a recuperação de lesões no trabalho para empregadores, pagadores e trabalhadores lesionados. A empresa fornece supervisão médica, gestão de casos no campo e por telefone, revisão de registros por enfermeiros, avaliações médicas iniciais, planejamento de cuidados de vida, suporte de rede (incluindo IME e revisão por pares), além de serviços adicionais como projeção de custos médicos e reservas para o Medicare. A Opus enfatiza o cuidado baseado em evidências, retorno ao trabalho mais rápido, custos totais de sinistros mais baixos e melhora na satisfação dos trabalhadores através de coordenação clínica personalizada e um sistema habilitado por tecnologia chamado Maestro.

Descrição

• Coordinate care and communicate pertinent medical information among the Injured Worker, Insured, and Carrier • Facilitate appropriate treatment, successful rehabilitation, and return to work • Deliver efficient, cost-effective communication for work injuries, MVAs, liability claims, LTD/STD, and other referred services • Follow Case Management plan policies and retain accountability for the CM process • Accept assigned referrals and make initial contacts • Schedule initial assessments and obtain upcoming physician appointment dates • Confirm assignments and clarify special handling instructions • Build professional client relationships and treat claimants with dignity • Maintain ongoing communication with the Injured Worker, Insured, and Carrier • Record data and billing in CaseAnyplace • Submit timely monthly Preliminary, Initial, Progress, and Closing reports • Attend physician appointments and obtain diagnosis, prognosis, treatment plan, rehabilitation length, estimated return-to-work status, and MMI/Full Recovery information • Refer to Vocational Counselor for job analyses when appropriate and approved by Carrier • Recommend and coordinate IME physicians and attend IMEs • Coordinate transportation as needed • Provide translation as needed for bilingual nurses • Monitor treatment plans and attend therapy sessions when appropriate • Maintain contact with therapists for updates • Request file transfers to Vocational Counselor when appropriate • Assist Carrier/Insured with modified or regular-duty return-to-work planning • Provide information to Defense Attorneys as appropriate • Promote teamwork with all staff members • Maximize accurate, appropriate billable hours toward the monthly target of 8 hours/day • Perform additional professional duties as assigned • Retain responsibility for tasks delegated to non-clinical staff

🎯 Requisitos

• Current, unrestricted state Registered Nurse license • Licensed in each state where field case management is provided • Able to perform independent assessments within scope • Practices in a U.S. state/territory allowing independent assessment within scope of practice • Completion of a nursing program and ongoing CE as required • One or more national certifications within 4 years of hire (e.g., CCM, CRC, CLNC, CRRN) preferred • Two years FTE direct case management for injured workers or two years under supervision preferred • Maintain licensure/certifications and complete required annual training on time • Regular local travel of up to 2 hours in the region • Bilingual ability may be needed for translation duties

🏖️ Benefícios

• Competitive pay and bonus program • Health, dental, vision, and retirement plans • Flexible scheduling • Nurse referral program • Continuing education support

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