Medical Case Manager- Palm Desert / Coachella Valley, CA
Core
Provide medical case management services for injured workers and disabled individuals to facilitate return-to-work (RTW) and case resolution.
Role type
Medical Case Manager (Workers' Compensation)
Builds
Medical case management services for injured workers/disabled individuals
Domain
Healthcare / Workers' Compensation
Required skills
Clinical expertise, data analysis, case management practices, communication, organizational skills, problem-solving
Preferred skills
National case management certification (CCM, CRC, COHN, CRRN), Workers' Comp experience, BSN degree
Technologies
Microsoft Office, Lotus Notes
Responsibilities
Review case records and analyze data to evaluate medical status and identify needs; Render opinions on case costs and treatment plans; Coordinate return-to-work (RTW) with injured workers, employers, and physicians; Communicate with claims adjusters and obtain necessary authorizations; Perform job site evaluations and obtain medical records; 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, individual contributor