Telephonic Case Manager, RN – Compact License

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EK Health Services Inc.

Site WebLinkedInTous les Emplois

201 - 500 employés

Fondée en 1998

⚕️ Assurance santé

📋 Conformité

☁️ SaaS

Healthcare Insurance • Compliance • SaaS

EK Health Services Inc. est une entreprise de gestion de soins de santé complète spécialisée dans la gestion de cas, la gestion de factures médicales et les services de réadaptation professionnelle. Elle propose des services tels que la planification des sorties, l'examen de l'utilisation, les évaluations ergonomiques et les services de fonds d'affectation spéciale Medicare, garantissant l'excellence et l'efficacité dans la prestation des soins de santé. EK Health s'engage à l'innovation et à des soins de qualité, en partenariat avec diverses organisations pour améliorer leurs offres et soutenir les employés blessés.

Description

• 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)

🎯 Exigences

• 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)

🏖️ Avantages

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