Medical Case Manager

Crawford & Company; Phoenix (AZ); Remote; USD 60,000 - 90,000; Full time

Job summary

An established industry player is seeking a dedicated Workers' Compensation Case Manager to join their remote team in Phoenix, AZ. This role offers a unique opportunity to provide effective case management services while maintaining a great work-life balance. As a key member of the team, you will manage cases involving Workers' Compensation and collaborate with various stakeholders to ensure timely return-to-work solutions. With a focus on quality assurance and customer service, this position allows for local travel within the Phoenix region, making it an ideal fit for professionals seeking flexibility and impact in their work.

Benefits

Great Work Life Balance

Quarterly Bonus Program

Free CEUs for licenses and certificates

License and national certification reimbursement

Qualifications

• 1-3 years of clinical experience; Workers' Compensation case management experience preferred.
• Active RN license in good standing; National Certification preferred.

Responsibilities

• Provide effective case management services in accordance with URAC standards.
• Manage cases involving Workers' Compensation, Group Health, and Disability.

Skills

Case Management

Communication Skills

Analytical Skills

Organizational Skills

Interpersonal Skills

Education

RN Degree

BSN Degree

Tools

Microsoft Office

Lotus Notes

Job description

Job Title: Workers' Compensation Case Manager (Remote, Phoenix, AZ)

Benefits:

• Great Work Life Balance
• Quarterly Bonus Program
• Free CEUs for licenses and certificates
• License and national certification reimbursement

This is a work-from-home position requiring local travel within the Phoenix, AZ region for case management.

Responsibilities:

1. Provide effective case management services in accordance with URAC standards, CMSA Standards of Practice, and Broadspire QA Guidelines.
2. Manage cases involving Workers' Compensation, Group Health, Liability, Disability, and Care Management.
3. Review case records, analyze data, and evaluate medical status to facilitate return-to-work solutions.
4. Coordinate with injured workers, physicians, and employers to ensure timely RTW.
5. Communicate regularly with claims adjusters and other stakeholders to update case progress.
6. Perform site evaluations, review files, and facilitate medical reviews and IMEs as needed.
7. Travel approximately 70% of the time to various locations for case management activities.
8. Meet productivity and QA standards consistently.
9. Uphold company policies and demonstrate excellent customer service.

Qualifications:

• RN degree required; BSN preferred.
• 1-3 years of clinical experience; Workers' Compensation case management experience preferred.
• Active RN license in good standing.
• National Certification such as CCM, CRC, COHN, CRRC preferred; if not, plan to obtain within 36 months.
• Knowledge of case management practices and computer skills including Microsoft Office and Lotus Notes.
• Excellent communication, analytical, organizational, and interpersonal skills.
• Must be compliant with state requirements regarding certifications and vaccinations.
• Valid driver's license and ability to travel as needed.