Case Manager - RN (San Jose, CA)

ISYS Solutions, Inc.; Sunnyvale (CA); On-site; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a dedicated Registered Nurse to join their dynamic team in providing field-based case management services. This role involves utilizing professional judgment to facilitate optimal recovery outcomes for injured workers through effective communication and coordination. You'll have the opportunity to impact your income through performance-based bonuses, enjoy a flexible work schedule, and accrue generous PTO. Join a mission-driven organization that values excellence, compassion, and community involvement, where your contributions will make a significant difference in the lives of those you serve.

Benefits

Flexible schedule

Medical insurance

Dental insurance

Vision insurance

Tax-deferred retirement program

Long-term disability insurance

Employee assistance program

Accrued PTO

Bonus PTO rewards

Performance-based bonuses

Qualifications

• Registered Nurse (RN-BC) with strong English skills and problem-solving abilities.
• Willingness to obtain CCM certification after the first year of employment.

Responsibilities

• Provide field-based case management services in the worker's compensation industry.
• Facilitate timely medical care for injured workers and coordinate with all parties.

Skills

Outstanding English language skills

Problem solving

Organization

Time management

Dependability

Compassion

Education

High School Diploma

Bachelor’s Degree or Higher Education

Tools

MS Office Suite

PCs and Windows

Job description

EOE Statement: We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.

Position Requirements

REQUIREMENTS:

• High School Diploma
• Current valid State Driver’s license
• Registered Nurse (RN-BC)
• Outstanding English language skills: speaking, writing, grammar, professional communication
• Proficient working with PCs and Windows and MS Office Suite (ability to type/key at a moderate speed) and willingness to learn new technologies
• Excellent prioritization, problem solving, organization and time management
• Strong character: Dependability, Honesty, Determination and Compassion
• Ability and willingness to obtain CCM certification after the first year of employment
• Ability and willingness to establish home office with strong internet connection
• Understanding and appreciation of excellent customer service and a desire to serve
• All credentials and licensure must be valid and maintained

NOT REQUIRED BUT PREFERRED:

• Bachelor’s Degree or Higher Education
• Related Certifications: CCM, CDMS, ACM, LCSW and/or CRC
• Background in Nursing, Social Work, Counseling, Occupational Health, Psychology, and/or Chiropractic.

GENERAL SUMMARY:

Provide field-based case management services (within the worker's compensation industry) by utilizing professional judgment and discretion, applying professional processes, and adhering to Case Management Society of America (CMSA), ISYS, and customer guidelines.

Facilitate appropriate qualitative and timely medical care for injured workers by implementing prudent case management strategies, demonstrating proactive communication, and appropriate coordination with all parties to enable optimal recovery outcomes, including return to work determination, file progression towards Permanent and Stationary designation, and cost containment for the customer.

ESSENTIAL JOB FUNCTIONS:

• Frequent travel (Driving) throughout designated geographical service areas to in-person appointments/visits. Potential overnight or air travel for special occasions or special geographies, or for coverage purposes.
• Management of cases as assigned by ISYS, including 'rush'/same day referrals from ISYS' customers and attendance at medical appointments scheduled during the hours of the facilities providing treatment.
• Autonomous management of assigned caseload, including coordination of weekly and daily work activities and schedule, ensuring optimal time management and professional prioritization of all activities.
• Conducting onsite Case Management services following the CMSA guidelines and ISYS protocols and procedures.
• Enthusiastically and professionally coordinate, facilitate, conduct, and complete in-person attendance at physician appointments, hospital visits, case conferences, home visits, and ancillary providers to facilitate treatment recommendations in a timely manner.
• Initiate and conduct professional discussions with medical providers regarding diagnosis, treatment, and prognosis.
• Apply the case management process, education, and experience to facilitate appropriate and timely treatment and recovery of the injured worker with the goal of maximal recovery and maximal return to work.
• Provide proactive and timely communication, and coordinate collaboration with all parties involved in each case, in-person, by phone, and/or in writing.
• Support the injured worker's progress towards achieving Maximum Medical Improvement and foster realistic and effective Return to Work opportunities by exploring viable options with all involved parties.

GREAT BENEFITS:

The ability to impact your own income through conscious effort is such a rare privilege and is one of the main perks of this special position. Compensation includes both biweekly salary and bonus. Ongoing bonus pay is not capped which means high earning potential is in your hands.

The opportunity to adjust your work schedule and navigate your responsibilities in a way that fits your personal preference and workstyle.

Rest and relaxation are important, so PTO (vacation) is accrued monthly. Plus, you can earn bonus PTO rewards annually and enjoy even more time off.

A benefits package with tax-deferred retirement program, a flexible schedule, medical, dental, and vision insurance, ancillary supplement health plans, Long-term disability insurance, and employee assistance program.

ABOUT ISYS CASE MANAGEMENT:

ISYS is an organization of people with big minds, big hearts, lots of spirit and good character whose mission is to work creatively and intensively to provide case management solutions and have a positive impact on those we serve. Providing forward focused care coordination and customer service in the workers compensation community since 1998, ISYS has an established brand reputation of delivering on our promise to provide consistent high quality catastrophic, rush, and onsite field medical case management services. Our company culture is based on living our values to:

• Always do the right thing
• Deliver excellence in everything we do
• Encourage a Hug Your Customer philosophy
• Communicate respectfully and proactively
• Build relationships upon trust
• Give generously
• Pursue growth and learning
• Be honest, authentic, grateful, and humble
• Promote individual and economic liberty
• Embrace the family spirit

Annual employee surveys are conducted as part of holding ourselves accountable to living these values and delivering on our promise to our employees. Annual team building, annual gatherings to acknowledge exceptional performance, and routine hugging are all part of our work family culture.

ISYS also has a Charitable Activities Committee that oversees and promotes employee involvement in our Pay it Forward program, which focuses on different ways to give back to the communities in which we live and work.

Thank you for your interest in working with ISYS!