Telephonic RN Case Manager – Workers’ Comp

Visa Hunt; United States; On-site; USD 75,000 - 88,000; Full time

Benefits offered by this job

Health, Dental, Vision, Life

Disability

Wellness

Paid Time Off

401(k) and Profit-Sharing

Job summary

Berkley Medical Management Solutions (BMMS) seeks a Telephonic Nurse Case Manager to assess, plan, coordinate, and implement medical case management for injured workers, enabling timely medical care and return-to-work outcomes.

RN licensed professional with 4+ years of clinical experience will coordinate with physicians, employers, and adjusters, and may travel up to 10% domestically. BMMS offers a competitive benefits package and a base salary range of 75k–88k.

Qualifications

• Minimum 2 years of experience in workers compensation insurance and medical case management preferred
• Minimum of 4 years medical/surgical clinical experience required
• Exhibit strong communication skills, professionalism, flexibility and adaptability
• Possess working knowledge of medical and vocational resources available to the Workers’ Compensation industry
• Demonstrate evidence of self-motivation and the ability to perform case management duties independently
• Demonstrate evidence of computer and technology skills
• Oral and written fluency in both Spanish and English a plus

Responsibilities

• Coordinate and implement medical case management to facilitate case closure
• Timely and comprehensive communication with with employers, adjusters and the injured workers
• Assess appropriate utilization of medical treatment and services available through contact with physicians and other specialist to ensure cost effective quality care
• Review and analyze medical records and assess data to ensure appropriate case management process occurs while providing recommendations to achieve case progress and movement to closure
• Responsible for assigned caseloads, which may vary in numbers, territory and/or by state jurisdiction
• Acquire and maintain nursing licensure for all jurisdictions as business needs require
• Coordinate services to include home services, durable medical equipment, IMEs, admissions, discharges, and vocational services when appropriate and evaluate cost effectiveness and quality of services
• Document activities and case progress using appropriate methods and tools following best practices for quality improvement
• Reviewing job analysis/job description with all providers to coordinate and implement disability case management. This includes coordinating job analysis with employer to facilitate return to work.
• Engage and participate in special projects as assigned by case management leadership team
• Occasionally attend on site meetings and professional programs
• Foster a teamwork environment
• Maintaining and updating evidence based medical guidelines in reference to the injured worker treatment plan and work status
• Obtain and maintain applicable state certifications and/or licensures in the state where job duties are performed
• Obtain case management professional certification (CCM) within 2 years of hire date
• Earn Continuing Education Units to maintain certifications and licensures

Skills

Communication skills

Professionalism

Flexibility

Adaptability

Spanish language (plus)

Education

RN license

Nursing degree

Tools

Computer skills

Job description

Berkley Medical Management Solutions (BMMS) seeks a Telephonic Nurse Case Manager to assess, plan, coordinate, and implement medical case management for injured workers, enabling timely medical care and return-to-work outcomes.

RN licensed professional with 4+ years of clinical experience will coordinate with physicians, employers, and adjusters, and may travel up to 10% domestically. BMMS offers a competitive benefits package and a base salary range of 75k–88k.