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:

RN License (Required)

Ability to Commute:

Raleigh-Durham, NC (Required)

Willingness to travel:

50% (Required)

Work Location: Multiple locations

Southern Rehabilitation Network jobs

RN Medical Case Manager - Remote (Raleigh, Durham, Chapel Hill, NC and surrounding areas)