Remote Telephonic Medical Case Manager

TRISTAR MANAGED CARE INC; South Carolina; Hybrid; USD 82,000 - 88,000; Full time

Job summary

Paycom - ATS is seeking an experienced Medical Case Manager to provide telephonic case management in a workers’ compensation setting. You will coordinate resources and cost-effective options to support treatment goals and return to work, working closely with claimants, providers, and clients.

The role requires an unrestricted RN/LPN license (CCM/CM certification preferred) and 3+ years of clinical or workers’ compensation experience.

Qualifications

• Excellent communication and organizational skills to interface with client, claimants and staff.
• Current, unrestricted RN/LPN/CCM license required; nursing degree preferred.
• CCM/CM certification preferred; multi-state experience is a plus.

Responsibilities

• Provide telephonic outreach for assessment, and follow up for case communication and coordination to include assessing, planning, implementing, coordinating of care.
• Conduct initial assessment with the injured worker, employer and provider and maintain regular contact with all parties involved to formulate a clinical case plan.
• Coordinate contact with provider, claimant, RTW contact and claims examiner; maintain updated activity with all parties.

Skills

Communication skills

Organizational skills

Independent work

Telephonic outreach

Microsoft Office

Education

Diploma, Associate or Bachelor’s degree in Nursing

RN/LPN license

CCM/CM certification preferred

Tools

Microsoft Office

Job description

Paycom - ATS is seeking an experienced Medical Case Manager to provide telephonic case management in a workers’ compensation setting. You will coordinate resources and cost-effective options to support treatment goals and return to work, working closely with claimants, providers, and clients.

The role requires an unrestricted RN/LPN license (CCM/CM certification preferred) and 3+ years of clinical or workers’ compensation experience.