Medical Case Manager PT
Core
Provide effective medical case management services for injured workers and disabled individuals to facilitate return-to-work (RTW) and case resolution.
Role type
Medical Case Manager (RN)
Builds
Case management plans and RTW strategies for Workers' Compensation, Group Health, Liability, and Disability claims.
Domain
Healthcare / Workers' Compensation
Required skills
Clinical nursing expertise, case management practices, data analysis, communication, organizational skills, problem-solving
Preferred skills
National case management certification (CCM, CRC, COHN, CRRN), Workers' Comp experience, BSN degree, supervisory understanding
Technologies
Microsoft Office, Lotus Notes
Responsibilities
Review case records and analyze medical status to identify needs and obstacles to RTW; Render opinions on case costs and treatment plans; 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; Meet monthly production and quality assessment requirements.
Seniority
Mid-level, hands-on IC