Telephonic Case Manager

Genex; Wayne (PA); Remote; USD 60,000 - 90,000; Full time

Job summary

An innovative organization in the healthcare sector is seeking a Telephonic Case Manager to join their compassionate team. This remote position offers a unique opportunity to make a positive impact on the lives of injured individuals through effective case management. You will collaborate with medical professionals and employers to develop tailored treatment plans that promote recovery and return to work. With a focus on using technology and clinical expertise, you will play a vital role in ensuring optimal healthcare services are delivered. Join a forward-thinking company that values your contributions and offers a comprehensive benefits program, including generous paid time off and training opportunities.

Benefits

Comprehensive benefits program

24 days of paid vacation/holidays

Home office equipment

Mileage and travel reimbursement

Employee Assistance Program

Hands-on training in case management

Qualifications

• 2+ years clinical practice preferred, especially in workers' compensation.
• Active RN license in good standing required.

Responsibilities

• Create and implement treatment plans for injured/disabled persons.
• Collaborate with physicians to facilitate early return to work.
• Independently manage workload and prioritize cases.

Skills

Advocacy with physicians/providers

Independent work

Basic computer skills (Excel, Word, Outlook)

Written communication skills

Education

Associates Degree in Nursing

Bachelor's Degree in Nursing

Tools

Excel

Word

Outlook Email

Job description

Genex Service LLC


Telephonic Case Manager

US--Remote

Job ID: 25-17544
Type: Regular Full-Time
# of Openings: 1
Category: Case Management
Mitchell International, Inc.

Overview

The Enlyte Family of Businesses

Mitchell | Genex | Coventry

Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth.

Responsibilities

This is a full-time, work from home position and can be located anywhere in the U.S.

Qualified candidates must have worker's compensation or occupational health experience.

Compact RN License Required; and one of the following case management certifications: CCM, CDMS, COHN, or CRRN.

Perks: Full and comprehensive benefits program, 24 days of paid vacation/holidays in your first year plus sick days, home office equipment including laptop and desktop monitor, mileage and travel reimbursement, Employee Assistance and Referral Program, and hands-on workers' compensation case management training.

Join our compassionate team and help make a positive difference in an injured person's life. As a Telephonic Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning. In this role, you will:

• Demonstrate knowledge, skills, and competency in the application of case management standards of practice.
• Use advanced knowledge of types of injury, medications, comorbidities, treatment options, treatment alternatives, and knowledge of job duties to advise on a treatment plan.
• Interview disabled persons to assess overall recovery, including whether injuries or conditions are occupational or non-occupational.
• Collaborate with treating physicians/providers and utilize available resources to help create and implement treatment plans tailored to an individual patient.
• Work with employers and physicians to modify job duties where practical to facilitate early return to work.
• Evaluate and modify case goals based on injured/disabled person's improvement and treatment effectiveness.
• Independently manage workload, including prioritizing cases and deciding how best to manage cases effectively.
• Complete other duties, such as prepare status updates for submittal to customers, assist in training/orientation of new staff as requested, and other duties as assigned.

Qualifications

• Education: Associates Degree or Bachelor's Degree in Nursing or related field.
• Experience: 2+ years clinical practice preferred. Workers' compensation-related experience preferred.
• Skills: Ability to advocate recommendations effectively with physicians/providers, employers, and customers. Ability to work independently. Knowledge of basic computer skills including Excel, Word, and Outlook Email. Proficient grammar, sentence structure, and written communication skills.
• Certifications, Licenses, Registrations:
  • Active Registered Nurse (RN) license required. Must be in good standing.
  • URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN or COHN, COHN-S, RN-BC, ACM, CMAC, CMC).
• Internet: Must have reliable internet.

Salary:

Please see job description

PI267740988