Field Nurse Case Manager - Charlotte

OpenKrill; United States; In loco; USD 70.000 - 100.000; Tempo pieno

Vantaggi offerti da questo lavoro

Competitive compensation

Bonus program

Flexible scheduling

Continuing education support

Descrizione del lavoro

Openkrill seeks a Nurse liaison to coordinate care and communicate medical information among the Injured Worker, the Insured, and the Carrier to facilitate appropriate treatment and return to work. This remote, field-based role involves regular local travel up to 2 hours in your region.

The ideal candidate is a registered nurse with unrestricted licensure, CM certification within three years, and at least two years of direct case management experience.

Competenze

• Must hold a current, unrestricted RN license in every state where field case management is provided.
• Capable of independent assessments within the scope of practice.
• Completion of a nursing program; ongoing continuing education as required.
• Must obtain and maintain a nationally recognized certification (e.g., CCM, CRC, CLNC, CRRN) within three years of hire or state requirement.

Mansioni

• Follow Case Management (CM) plan and uphold CM process accountability.
• Accept referrals from the Director of Case Management; build professional client relationships.
• Coordinate communications among Injured Worker, Insured, and Carrier, including after physician visits.
• Maintain data and billing records; submit monthly reports (Preliminary, Initial, Progress, Closing).
• Assist RTW planning (modified or regular duty) and coordinate IMEs as needed.
• Provide translation when needed and facilitate referrals to Vocational Counselor.

Conoscenze

Independent assessments within scope

Formazione

Nursing program completion

RN license in applicable states

Ongoing CE requirements

Certification: CCM/CRC/CLNC/CRRN within 3 years

Descrizione del lavoro

Job Summary

Nurse liaison who coordinates care and communicates pertinent medical information among the Injured Worker, the Insured, and the Carrier to facilitate appropriate treatment, successful rehabilitation, and return to work. Delivers efficient, cost-effective communication for work injuries, MVAs, liability claims, LTD/STD, and other referred services. This is a remote, field-based role that involves regular local travel of up to 2 hours in your region.

Duties & Responsibilities

• Follow all policies/procedures in the Case Management (CM) plan; retain accountability for the CM process.
• Accept referrals as assigned by the Director of Case Management.
• Make initial contacts per CM plan; schedule initial assessment; obtain date of next physician appointment.
• Confirm assignment with referral source; clarify special handling instructions.
• Build professional relationships with clients; treat claimants with dignity.
• After physician appointments, contact Carrier and Insured per protocol; maintain ongoing communication with Injured Worker, Insured, and Carrier.
• Record data and billing in CaseAnyplace; submit timely monthly reports (Preliminary, Initial, Progress, Closing).
• Attend physician appointments; obtain diagnosis, prognosis, treatment plan, rehab length, estimated RTW (modified/regular duty), and MMI/Full Recovery as appropriate.
• Refer to Vocational Counselor for job analyses (modified/regular duty) when appropriate and approved by Carrier.
• Recommend IME physicians; coordinate and attend IMEs.
• Coordinate transportation as needed.
• Provide translation as needed (for bilingual nurses).
• Monitor treatment plan; attend therapy sessions when appropriate; maintain contact with therapists for updates.
• Request transfer of files to Vocational Counselor when appropriate (LMS, Voc Rehab).
• Assist Carrier/Insured with RTW planning (modified or regular duty).
• Provide information to Defense Attorneys as appropriate.
• Promote teamwork with all staff members.
• Maximize accurate, appropriate billable hours per monthly target (8 hrs/day).
• Maintain licensure/certifications; complete required annual training on time.
• Perform additional professional duties as assigned.
• Retain responsibility for tasks delegated to non-clinical staff.

Qualifications

• Registered Nurse: Current, unrestricted state license; licensed in each state where field case management is provided; able to perform independent assessments within scope.
• Discipline Eligibility: Practices in a U.S. state/territory allowing independent assessment within scope of practice.
• Education: Completion of a nursing program and ongoing CE as required.
• Certification: Must obtain and maintain at least one nationally recognized certification (e.g., CCM, CRC, CLNC, CRRN, etc.) within three (3) years of hire or within the state-required timeframe for practice, whichever is less.
• Experience: Two years FTE direct case management for injured workers or two years under supervision preferred.

Benefits

• Competitive pay and bonus program
• Health, dental, vision, and retirement plans
• Flexible scheduling
• Nurse referral program
• Continuing education support