RN Workers' Comp Care Coordinator

Catholic Health Initiatives; Omaha (NE); On-site; USD 4,045,000 - 6,017,000; Full time

Job summary

Catholic Health Initiatives in Omaha, NE seeks an RN Workers' Comp Coordinator to manage Workers' Compensation programs for CHI Health Orthopedics, coordinating care for injured patients and serving as liaison among healthcare professionals, claims adjusters, attorneys, and patients.

The role involves coordinating approvals, obtaining medical records, maintaining tracking for charges, and ensuring timely information flow with nurse case managers and HR.

Qualifications

• Current Registered Nurse (RN) license that allows you to practice in our state
• Graduate of an accredited nursing program
• Experience in occupational health nursing and case management strongly preferred

Responsibilities

• Screen telephone calls for Workers' Compensation new appointments to include gathering demographic data, obtaining prior medical records and verifying insurance coverage for the scheduled appointment.
• Obtains approval or authorization for additional testing and surgical procedures by working with nurse case managers and insurance claims adjusters. Obtain approval by the Work Comp insurance carriers of all WC surgeries that are performed by the surgeons in our department. (Upon receiving the written authorization for the procedure it will be given to the medical provider's surgery scheduler who will schedule the approved procedure.)
• Facilitates collection of pertinent patient medical records with a summary letter from the assigned nurse case manager or insurance claims adjuster to forward to the appropriate orthopedic surgeon for review of a second opinion. Obtain the x-ray and MRI CD's on medical records requests and send to the requesting party.
• Prepare and maintain a tracking system for outstanding charges and pre-payment charges for narrative reports, record reviews, and etc. for Workers' Compensation and personal injury patients.
• Communicate with nurse case managers, insurance claims adjusters, and human resource personnel to ensure that all information (dictation, work restriction releases, etc.) for Workers' Compensation patients are received in a timely fashion.

Skills

Occupational health nursing

Case management

RN license

Education

Graduate of an accredited nursing program

Job description

Catholic Health Initiatives in Omaha, NE seeks an RN Workers' Comp Coordinator to manage Workers' Compensation programs for CHI Health Orthopedics, coordinating care for injured patients and serving as liaison among healthcare professionals, claims adjusters, attorneys, and patients.

The role involves coordinating approvals, obtaining medical records, maintaining tracking for charges, and ensuring timely information flow with nurse case managers and HR.