Catastrophic Clinical Consultant, Case Management

Genex; Wayne (PA); Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a Catastrophic Clinical Consultant to join their remote team. In this vital role, you will manage complex cases, providing support and guidance to field case managers. Your expertise will ensure effective communication with all stakeholders while navigating intricate medical cases. The position offers a comprehensive benefits program, including a salary with a bonus structure and generous vacation days. If you're passionate about making a meaningful impact in the lives of others and thrive in a collaborative environment, this opportunity could be perfect for you.

Benefits

Comprehensive benefits program

24 days of paid vacation/holidays

Home office equipment (laptop and monitor)

Qualifications

• 3+ years clinical practice required, preferably in workers' compensation.
• Active RN license in good standing is required.

Responsibilities

• Manage complex cases and support field case managers.
• Communicate effectively with various parties involved in case management.

Skills

Advocacy with physicians/providers

Independent work

Basic computer skills (Excel, Word, Outlook)

Written communication skills

Education

Associates or Bachelor's Degree in Nursing

Tools

Microsoft Excel

Microsoft Word

Outlook Email

Job description

Genex Service LLC


Catastrophic Clinical Consultant, Case Management

US--Remote

Job ID: 25-17814
Type: Regular Full-Time
# of Openings: 1
Category: Case Management
Mitchell International, Inc.

Overview

The Enlyte Family of Businesses

Mitchell | Genex | Coventry

Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth.

Responsibilities

This is a full-time, remote position. The candidate must be located in MST or PST time zones within the US.

Perks: Salary + bonus structure, full and comprehensive benefits program, 24 days of paid vacation/holidays in your first year plus sick days, and home office equipment including laptop and desktop monitor.

The Field Case Management Supervisor role is part of Enlyte's National Catastrophic Program. In this collaborative and crucial role, you will be managing complex cases and providing support to field case managers. You will

* Provide support and guidance to field case managers

* Handle catastrophic referral intake processes

* Oversee and monitor catastrophic cases

* Maintain effective communication with customers

* Serve as a resource for Field Case Managers, offering guidance and coaching

* Ensure adherence to account-specific guidelines

* Navigate complex medical cases and provide expert oversight in catastrophic case management

* Collaborate with team members and stakeholders

* Communicate effectively with various parties involved in case management

* Coach and mentor field case managers to improve their skills and performance

* Monitor and evaluate the progress of catastrophic cases

* Facilitate effective transitions of care for complex patients

Qualifications

• Education: Associates Degree or Bachelor's Degree in Nursing or related field.
• Experience: 3+ years clinical practice required. Workers' compensation-related experience preferred. Expertise managing catastrophic claims preferred. Prior leadership and mentoring skills required.
• Skills: Ability to advocate recommendations effectively with physicians/providers, employers, and customers. Ability to work independently. Knowledge of basic computer skills including Excel, Word, and Outlook Email. Proficient grammar, sentence structure, and written communication skills.
• Certifications, Licenses, Registrations:
  • Active Registered Nurse (RN) license required. Must be in good standing.
  • URAC-recognized certification in case management (CCM) preferred
• Internet: Must have reliable internet.

Salary:

Please see job description

PI267570624