Medical Case Manager
Core
Provide effective medical case management services for injured workers and disabled individuals to facilitate return-to-work (RTW) and case resolution.
Role type
Senior IC medical case manager (Workers' Compensation)
Builds
Medical case management services for Workers' Compensation, Group Health, Liability, and Disability claims
Domain
Healthcare + Workers' Compensation
Deliverable
physical/clinical work
Required skills
Clinical expertise, data analysis, case management, RTW coordination, medical record interpretation, stakeholder communication
Preferred skills
National case management certification (CCM, CRC, COHN, CRRN), BSN degree, supervisory experience
Technologies
Microsoft Office, Lotus Notes
Responsibilities
Review case records and analyze data to identify needs and obstacles to medical case resolution; Render opinions on case costs, treatment plans, and outcomes; Coordinate RTW with injured workers, employers, and physicians; Maintain contact with claims adjusters and other parties; Perform job site evaluations; Utilize clinical expertise to interpret medical records and test results; Travel approximately 70% of work time to homes, healthcare providers, and job sites.
Seniority
Mid-level to Senior, hands-on IC