RN, Case Manager

ISYS SOLUTIONS INC; Los Banos (CA); On-site; USD 120,000 - 180,000; Full time

Benefits offered by this job

Biweekly salary and bonus

Flexible schedule

PTO accrue monthly

Medical, dental, vision insurance

Long-term disability

Retirement plan

Job summary

ISYS SOLUTIONS INC is seeking a Field-based RN Case Manager to service Los Banos and surrounding areas. Travel to medical appointments and coordinate comprehensive case management for workers' compensation cases, with strong emphasis on communication with insurers, providers, and employers.

The role offers autonomy, a competitive compensation range, and opportunities to impact earnings through performance bonuses and schedule flexibility.

Qualifications

• High school diploma required.
• Registered Nurse (RN-BC) licensed in-state.
• Outstanding English communication skills (spoken/written).
• Proficient with PCs, Windows, and MS Office; able to learn new tech.

Responsibilities

• Travel to in-person appointments within designated area.
• Manage cases assigned by ISYS and attend medical appointments.
• Coordinate weekly/daily work activities and prioritize tasks.
• Conduct onsite case management following CMSA and ISYS guidelines.
• Facilitate attendance at physician appointments and necessary visits.
• Communicate with providers, insurers, and employers to optimize outcomes.
• Support progressive return-to-work planning and cost containment.

Skills

English proficiency

PCs & MS Office

Prioritization

Customer service

CCM eligibility/licensing willingness

Home-office setup

Integrity/honesty

Licensure maintenance

Education

High School Diploma

RN-BC license

Bachelor’s Degree (preferred)

CCM/CDMS/ACM/LCSW/CRC credentials (preferred)

Tools

None

Job description

EOE Statement

We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.

Full-Time/Part-Time Full-Time

Position Requirements

REQUIREMENTS:

• High School Diploma
• Current valid State Driver’s license
• Registered Nurse (RN-BC)
• Outstanding English language skills: speaking, writing, grammar, professional communication
• Proficient working with PCs and Windows and MS Office Suite (ability to type/key at a moderate speed) and willingness to learn new technologies
• Excellent prioritization, problem solving, organization and time management
• Strong character: Dependability, Honesty, Determination and Compassion
• Ability and willingness to obtain CCM certification after the first year of employment
• Ability and willingness to establish home office with strong internet connection
• Understanding and appreciation of excellent customer service and a desire to serve
• All credentials and licensure must be valid and maintained

NOT REQUIRED BUT PREFERRED:

• Bachelor’s Degree or Higher Education
• Related Certifications: CCM, CDMS, ACM, LCSW and/or CRC
• Background in Nursing, Social Work, Counseling, Occupational Health, Psychology, and/or Chiropractic.

About the Organization

Description

RN, Case Manager (Field based position servicing Los Banos and surrounding areas)

Feel the Value of Excellence by providing quality medical case management for injured workers, coordinating appropriate care, making recommendations, and professionally communicating with insurance carriers, healthcare providers, ancillary vendors, employers, and attorneys. Make a difference by driving to and attending medical appointments in-person. Complete prompt and thorough documentation and qualify for bonus compensation. Enjoy inserting your own style into the work you do and benefiting from more flexibility at work. This position offers the privilege to impact your earnings and the opportunity to adjust your schedule. Do you have a strong work ethic and high integrity? Then this very rewarding and autonomous role might just be the right fit!

COMPENSATION RANGE

$120,000.00 to $180,000.00 annually

GENERAL SUMMARY

Provide field-based case management services (within the worker's compensation industry) by utilizing professional judgment and discretion, applying professional processes, and adhering to Case Management Society of America (CMSA), ISYS, and customer guidelines.

Facilitate appropriate qualitative and timely medical care for injured workers by implementing prudent case management strategies, demonstrating proactive communication, and appropriate coordination with all parties to enable optimal recovery outcomes, including return to work determination, file progression towards Permanent and Stationary designation, and cost containment for the customer.

Facilitate timely claim resolution through proactive and professional communications, conducting case specific research, information analysis and providing appropriate advice, direction, and action plans to implement treatment and optimize realistic outcomes.

ESSENTIAL JOB FUNCTIONS

• Frequent travel (Driving) throughout designated geographical service areas to in-person appointments/visits. Potential overnight or air travel for special occasions or special geographies, or for coverage purposes.
• Management of cases as assigned by ISYS, including 'rush'/same day referrals from ISYS' customers and attendance at medical appointments scheduled during the hours of the facilities providing treatment.
• Autonomous management of assigned caseload, including coordination of weekly and daily work activities and schedule, ensuring optimal time management and professional prioritization of all activities.
• Conducting onsite Case Management services following the CMSA guidelines and ISYS protocols and procedures.
• Enthusiastically and professionally coordinate, facilitate, conduct, and complete in-person attendance at physician appointments, hospital visits, case conferences, home visits, and ancillary providers to facilitate treatment recommendations in a timely manner.
• Initiate and conduct professional discussions with medical providers regarding diagnosis, treatment, and prognosis.
• Apply the case management process, education, and experience to facilitate appropriate and timely treatment and recovery of the injured worker with the goal of maximal recovery and maximal return to work.
• Provide proactive and timely communication, and coordinate collaboration with all parties involved in each case, in-person, by phone, and/or in writing.
• Support the injured worker's progress towards achieving Maximum Medical Improvement and foster realistic and effective Return to Work opportunities by exploring viable options with all involved parties.
• Provide field-based case management services (within the worker's compensation industry) by utilizing professional judgment and discretion, applying professional processes, and adhering to Case Management Society of America (CMSA), ISYS, and customer guidelines.
• Facilitate appropriate qualitative and timely medical care for injured workers by implementing prudent case management strategies, demonstrating proactive communication, and appropriate coordination with all parties to enable optimal recovery outcomes, including return to work determination, file progression towards Permanent and Stationary designation, and cost containment for the customer.
• Facilitate timely claim resolution through proactive and professional communications, conducting case specific research, information analysis and providing appropriate advice, direction, and action plans to implement treatment and optimize realistic outcomes.

GREAT BENEFITS

• The ability to impact your own income through conscious effort is such a rare privilege and is one of the main perks of this special position.
• Compensation includes both biweekly salary and bonus. Ongoing bonus pay is not capped which means high earning potential is in your hands.
• The opportunity to adjust your work schedule and navigate your responsibilities in a way that fits your personal preference and workstyle.
• Rest and relaxation are important, so PTO (vacation) is accrued monthly.
• You can earn bonus PTO rewards annually and enjoy even more time off.
• A benefits package with tax-deferred retirement program, a flexible schedule, medical, dental, and vision insurance, ancillary supplement health plans, Long-term disability insurance, and employee assistance program.

ABOUT ISYS CASE MANAGEMENT

ISYS is an organization of people with big minds, big hearts, lots of spirit and good character whose mission is to work creatively and intensively to provide case management solutions and have a positive impact on those we serve. Providing forward focused care coordination and customer service in the workers compensation community since 1998, ISYS has an established brand reputation of delivering on our promise to provide consistent high quality catastrophic, rush, and onsite field medical case management services. Our company culture is based on living our values to:

Always do the right thing

Deliver excellence in everything we do

Encourage a Hug Your Customer philosophy

Communicate respectfully and proactively

Build relationships upon trust

Give generously

Pursue growth and learning

Be honest, authentic, grateful, and humble

Promote individual and economic liberty

Embrace the family spirit

Annual employee surveys are conducted as part of holding ourselves accountable to living these values and delivering on our promise to our employees. Annual team building, annual gatherings to acknowledge exceptional performance, and routine hugging are all part of our work family culture.

ISYS also has a Charitable Activities Committee that oversees and promotes employee involvement in our Pay it Forward program, which focuses on different ways to give back to the communities in which we live and work.

Thank you for your interest in working with ISYS!

Find employee testimonials and check us out at www.isyscm.com

For more information about our Privacy Practices please see our company website privacy policy at https://isyscm.com/isys-solutions-inc-california-privacy-notice-job-applicants/

This position is currently accepting applications.