Telephonic Medical Case Manager - Workers' Comp

Tristar-d43fac80; Summerville (SC); On-site; USD 65,000 - 85,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

401(k) plan

Holidays

Paid time off

Referral bonus

Job summary

Tristar-d43fac80 seeks a Medical Case Manager to provide telephonic case management in workers' compensation, coordinating resources and cost-effective options to support treatment goals and return-to-work placement.

Responsibilities include assessing medical records, communicating with providers, claimants, and employers, and documenting care plans while ensuring HIPAA compliance and quality standards.

Qualifications

• Excellent communication and organizational abilities.
• RN license required or equivalent.
• CCM/CPDM/CDMS certification preferred.

Responsibilities

• Provide telephonic outreach for assessment and follow-up with involved parties.
• Coordinate care and develop a clinical case plan with physicians and employers.
• Maintain documentation, billing and URAC/compliance standards.

Skills

Communication skills

Organizational skills

Independent worker

Microsoft Office

Education

RN license

Bachelor's degree in Nursing or related field

CCM/CPDM/CDMS preferred

Tools

EMR systems

Billing software

Job description

Tristar-d43fac80 seeks a Medical Case Manager to provide telephonic case management in workers' compensation, coordinating resources and cost-effective options to support treatment goals and return-to-work placement.

Responsibilities include assessing medical records, communicating with providers, claimants, and employers, and documenting care plans while ensuring HIPAA compliance and quality standards.