MEDICAL NURSE CASE MANAGER (Remote - MUST reside in or near Raleigh, Durham, Wake Forest, Chapel Hill or surrounding areas)
We have an opening for a Medical Case Manager with Southern Rehabilitation Network, Inc. in or near Raleigh, Durham, Wake Forest, Chapel Hill, NC or surrounding areas.
Southern Rehabilitation Network, Inc. has a 30 year history of providing outstanding medical case management and vocational services in the workers’ compensation arena in North Carolina, South Carolina, Virginia, and Georgia.
The Medical Case Manager is primarily responsible for providing medical case management services to injured workers and other client populations. The Medical Case Manager works remotely and has an established home office. Travel to various assignments within the region where clients are treating and operating a motor vehicle is required as part of the position.
Responsibilities
- Assess cases to include: reviewing medical file from referral sources, obtaining medical release and additional medical records as appropriate, identifying community resources available to client to make appropriate referrals, and documenting assessment in initial report
- Meets with and communicates with client, health care providers, family and others to explain role on initial contact/visit
- Identify client needs and establish the treatment and rehabilitation plan
- Schedule, coordinate, and attend provider appointments as appropriate
- Coordinate with clients, providers, employers, and vendors regarding the care and treatment plan
- Document and submit various reports within specified timeframes to ensure compliance and continuity of care
- Obtain referral sources/adjuster approval for physician, health care provider, and vendor recommendations as indicated for client treatment needs
- Provide updates on client status to referral source and attorney per written report, telephone, fax and/or email
- Review treatment plan with providers to assess progress and any modifications needed
- Evaluate effectiveness of resources for client and document progress and outcomes
- Participate in marketing activities with account representatives to promote case management services and products aspects of the position
Skills
- Oral and Written Communication Skills
- Diplomacy
- Time Management
- Organizational Skills
- Professionalism
- Computer Literacy
- Telephone Etiquette
- Decision Making
- Knowledge of Microsoft Office Suite Customer Service
Education and Training
- Minimum of Associate Degree in Nursing
- Bachelor of Science in Nursing preferred
- Registered Nurse Licensure in state of employment
Licensure/Certifications:
Certified Case Manager (CCM), Certified Registered Rehabilitation Nurse (CRRN), Certified Occupational Health Nurse (COHN), Certified Disability Management Specialist (CDMS), Orthopedic Nurse Certified (ONC)
Must attain eligibility and sit for appropriate certification based on jurisdictional requirements within the required time frame. If certification is not obtained within jurisdictional timeframe, there may be cause for termination.
Experience
Previous and/or current case management and workers' compensation experience preferred. Previous work experience preferred in a hospital/home healthcare/physician office working with orthopedic injuries, neurological injuries, amputations, burns, paraplegia, quadriplegia, brain injury, transplants, cancer or other illnesses to coordinate, facilitate, and implement recommendations and interventions.
Work Remotely
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Employee assistance program
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Schedule:
- Day shift
- Monday to Friday
License/Certification:
Ability to Commute:
- Raleigh-Durham, NC (Required)
Willingness to travel:
Work Location: Multiple locations