Telephonic Case Manager, RN – Compact License

🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $72k - $87k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

EK Health Services Inc.

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1998

⚕️ Healthcare Insurance

📋 Compliance

☁️ SaaS

Healthcare Insurance • Compliance • SaaS

EK Health Services Inc. is a comprehensive healthcare management company specializing in case management, medical bill management, and vocational services. They offer services such as discharge planning, utilization review, ergonomic evaluations, and Medicare set-aside services, ensuring excellence and efficiency in healthcare delivery. EK Health is committed to innovation and quality care, partnering with various organizations to enhance their offerings and support injured employees.

📋 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)

🎯 Requirements

• 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)

🏖️ Benefits

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