Telephonic Case Manager (RN) - Compact License - REMOTE!

EK Health Services Inc; Dallas (TX); Remote; USD 48,000 - 58,000; Full time

Benefits offered by this job

Medical, Dental and Vision Insurance

401K

Paid Time Off

Paid holidays

Equipment is provided

Monthly internet stipend

Job summary

EK Health is hiring a Full-Time Telephonic Nurse Case Manager (RN) to assess, plan, implement, coordinate, and evaluate care options for injured workers. Role supports return-to-work objectives while maintaining cost-effective care, with a remote schedule Monday–Friday 8:30am–5:30pm local time.

Requires Compact RN in good standing and CA RN license within 90 days; workers' compensation experience is preferred but not required.

Qualifications

• Graduate of an accredited school of nursing.
• 3-5 years clinical RN experience outside of school.
• Valid Compact RN license in good standing with no restrictions.
• Valid state-appropriate RN license in good standing with no restrictions.
• CA RN License within 90 days (reimbursed).
• Experience in Case Management; Workers' Compensation preferred but not required.
• Experience in Home Health Care; Occupational Health considered a plus.
• Excellent Written and Oral Communication Skills.
• Excellent Interpersonal & Organizational Skills.
• Proficient with MS Word and MS Excel.

Responsibilities

• Communicate with medical providers, employers and with injured workers
• Perform a complete nursing evaluation to determine needs of patient
• Review and evaluate all medical correspondence, provider reports, & treatment plan history
• Evaluate clinical status of claimant and research for alternative options to treatment as warranted
• Communicate with the claims examiners regarding directives, and provide updates on file status
• Arranging transportation services when necessary and authorized
• Evaluating therapy facilities and their progress on specific cases
• Prepare comprehensive notes following any discussions had with injured worker, medical providers, claims examiners, and employers in the case file
• Discuss the analyzed data and the comprehensive plan of care with the insurance representative prior to implementation
• Upon authorization, implement this plan of care with patient, physician and health care providers

Skills

RN license

Case management

Communication skills

Interpersonal skills

Organizational skills

MS Word

MS Excel

Home health care

Education

Nursing degree

Tools

MS Word

MS Excel

Job description

Job Type

Full-time

Description

EK Health is now hiring for a Full-Time Telephonic Nurse Case Manager (RN) for our Case Management Team! This role includes assessing, planning, implementing, coordinating, and evaluation of service options. The goal of the Case Manager is to assist the injured worker in receiving appropriate, cost-effective medical care for their injury in a timely manner, and to expedite their return to work.

Position Logistics:

Monday - Friday, 8:30am -5:30pm local time, Full-time Remote.

NOTE: Requires a Compact RN license in good standing. Workers Compensation experience is preferred but not required.

Wage is based on experience, education, certifications and location (may be either hourly or salary based on individual state requirements). Will be required to obtain a CA RN license (reimbursed).

Benefits & Perks:

• Base pay $35-42/hr ($72,800 - $87,360 annually). Wage is based on experience, education, certifications and location (may be either hourly or salary based on individual state requirements).
• Medical, Dental and Vision Insurance
• 401K
• Paid Time Off
• Paid holidays
• Equipment is provided
• Monthly internet stipend

Here's a snapshot of what you'll be doing (not all-inclusive):

• Communicate with medical providers, employers and with injured workers
• Perform a complete nursing evaluation to determine needs of patient
• Review and evaluate all medical correspondence, provider reports, & treatment plan history
• Evaluate clinical status of claimant and research for alternative options to treatment as warranted
• Communicate with the claims examiners regarding directives, and provide updates on file status
• Arranging transportation services when necessary and authorized
• Evaluating therapy facilities and their progress on specific cases
• Prepare comprehensive notes following any discussions had with injured worker, medical providers, claims examiners, and employers in the case file
• Discuss the analyzed data and the comprehensive plan of care with the insurance representative prior to implementation
• Upon authorization, implement this plan of care with patient, physician and health care providers
• Arrange for care/services as needed (home care, procedures, medication, equipment or supplies)
• Monitor the plan of care with modifications or changes suggested to the patient and physician as the need arises
• Coordinate information between all parties (injured worker, physicians, employer, other providers, such as therapists, and attorney, if any is involved)

Requirements

• Graduate of an accredited school of nursing
• 3-5 years clinical experience as an RN outside of school
• Valid Compact RN license in good standing with no restrictions
• Valid state-appropriate RN license in good standing with no restrictions
• Will be required to obtain CA RN License within 90 days (reimbursed)
• Possesses and can demonstrate the professional and technical skills of a Registered Nurse
• Experience in Case Management, Workers' Compensation experience preferred, but not required
• Experience in Home Health Care, Occupational Health considered a plus
• Excellent Written and Oral Communication Skills
• Excellent Interpersonal & Organizational Skills
• High comfort level with computers and computer programs (MS Word, MS Excel, Email)