Medical Case Manager - Part Time

Crawford & Company; Oklahoma City (OK); Hybrid; USD 45,000 - 75,000; Full time

Job summary

Join a forward-thinking company that values work-life balance and offers a supportive environment. As a Case Manager, you will play a crucial role in providing effective case management services, ensuring that each claim is treated with the utmost care and attention. This position allows you to work from home while traveling to various locations, making a significant impact on individuals' lives during their challenging times. With a strong emphasis on professional growth and community restoration, this role is perfect for those looking to make a difference while advancing their careers in a collaborative and inclusive workplace.

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 required.
• Certification as a case manager preferred or RN license.

Responsibilities

• Provide effective case management services in a cost-effective manner.
• Communicate regularly with claims adjusters and stakeholders.
• Travel approximately 70% of the work time to various locations.

Skills

Clinical Experience

Communication Skills

Analytical Skills

Organizational Skills

Problem-Solving Skills

Education

Associate's Degree in Nursing

Bachelor's Degree in Nursing (BSN)

Tools

Case Management Software

Job description

* 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 with travel covering Tulsa and Oklahoma City territories.

Responsibilities

1. Provide effective case management services in a cost-effective manner, consistent with URAC standards, CMSA Standards of Practice, and Broadspire QA Guidelines for patients/employees receiving benefits under various insurance lines.
2. Review case records, analyze data, evaluate medical status, identify needs and obstacles, and provide proactive case management services.
3. Render opinions on case costs, treatment plans, outcomes, and make recommendations to facilitate RTW (Return to Work).
4. Meet administrative requirements including productivity, time management, and QA standards with minimal supervision.
5. Perform job site evaluations to facilitate case management.
6. Establish professional relationships with injured workers, physicians, and employers to facilitate RTW.
7. Communicate regularly with claims adjusters and all parties involved to keep them informed of case activity and secure necessary authorizations.
8. Utilize clinical expertise to interpret medical records and test results.
9. Travel approximately 70% of the work time to homes, healthcare providers, job sites, and offices.
10. Meet monthly production and QA requirements.
11. Review cases with supervisors and uphold the company's code of conduct.
12. Demonstrate excellent customer service, problem-solving, and independent work skills.
13. Perform other related duties as assigned.

Minimum Qualifications

1. Associate's degree or relevant coursework in Nursing; BSN preferred.
2. 1-3 years of clinical experience.
3. Certification as a case manager from the URAC-approved list (preferred) or RN license.
4. Compliance with state requirements for national certifications.
5. Knowledge of case management practices and workers' compensation products.
6. Excellent communication, analytical, organizational skills, and computer literacy.
7. Ability to establish collaborative relationships with various stakeholders.
8. Must be fully vaccinated for COVID-19 if required by law.
9. Active RN license in good standing.
10. Minimum of 1 National Certification (e.g., CCM, CDMS, CRRN, COHN); plan to obtain within 36 months if not already certified.
11. Valid driver's license and ability to travel approximately 70% of the time.

#LI-KE1

Why Crawford?

Because a claim is more than a number - it's a person, a child, a friend. It's anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community - one claim at a time.

At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We're looking for the next generation of leaders to take this journey with us.

We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we operate as One Crawford: united in purpose, vision, and values. Learn more at www.crawco.com.

When you accept a job with Crawford, you become a part of the One Crawford family.

Our total compensation plans include:

• Pay and incentive plans recognizing performance excellence
• Benefit programs supporting financial, physical, and mental wellness
• Training programs for continuous learning and career growth
• Sustainability initiatives benefiting communities
• A culture of respect, collaboration, and inclusion

Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. No unsolicited assistance from search firms will be accepted unless a valid Statement of Work is in place. Resumes sent without such agreement will be the property of Crawford, and no fee will be paid for referrals that lead to employment.