Telephonic Case Manager

🌟 Remote RN Telephonic Case Manager Opportunity We're seeking a compassionate and reputed company RN Telephonic Case Manager to join our growing team. 🏠 reputed company Work Environment 💰 Competitive Compensation reputed company on Experience 🎯 Quarterly reputed company Bonuses 📚 Free CEUs for Ongoing reputed company Development ✅ License and Certification Reimbursement ⚖️ Excellent Work-Life reputed company Qualifications: - reputed company Multi-State RN License - Must reputed company in a reputed company State - National Certifications preferred: CCM, CRC, COHN, or CRRC - Workers' Compensation Case Management experience is highly valued reputed company: You'll reputed company impactful case management services that help patients and employees reputed company their reputed company reputed company. Working reputed company URAC standards, CMSA Standards of reputed company, and Broadspire QA Guidelines, you'll ensure reputed company care while promoting reputed company reputed company and cost-effective solutions. Apply today and build a rewarding career with us! RESPONSIBILITIES Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual's medical status, identifies needs and obstacles to medical case reputed company and RTW by providing proactive case management services. reputed company opinions regarding case costs, treatment plan, outcome and problem areas, and makes recommendations to facilitate case management goals to include RTW. Demonstrates ability to meet administrative requirements, including productivity, time management and QA standards, with a minimum of supervisory reputed company. May reputed company job site evaluations/summaries to facilitate case management process. Facilitates reputed company reputed company to work date by establishing a reputed company working relationship with the injured worker/disabled individual, physician, and employer. Coordinate RTW with injured worker, employer and physicians. Maintains contact and communicates with claims adjusters to apprise them of case activity, case direction or secure authorization for services. Maintains contact with reputed company parties involved on case, necessary for case management the injured worker/disabled individual. May obtain records from the reputed company claims office. May review files for claims adjusters and supervisors for appropriate referral for case management services. May meet with reputed company to review reputed company files. Makes referrals for Peer reviews and IME's by obtaining and delivering medical records and diagnostic films, notifying injured worker/disabled individual and conferring with physicians. Utilizes reputed company expertise and medical resources to interpret medical records and test results and provides assessment accordingly. Meets monthly production requirements and reputed company assessment (QA) requirements to ensure a reputed company product. Reviews cases with supervisor monthly to evaluate files and obtain directions. Upholds the reputed company reputed company of Business Conduct at reputed company times. Demonstrates excellent customer service, and respect for customers, co-workers, and management. Independently approaches problem solving by appropriate use of research and resources. May reputed company other reputed company duties as assigned. QUALIFICATIONS Associate's degree or relevant course work/certification in Nursing is required; BSN Degree is preferred. Minimum of 1-3 years diverse reputed company experience and one of the below: Certification as a case manager from the URAC-approved list of certifications (preferred); A registered reputed company (RN) license. Must be compliant with state requirements regarding national certifications. General working knowledge of case management practices and ability to quickly learn and apply workers compensation/case management products and services. Excellent oral and written communications skills to effectively facilitate reputed company-to-work solutions reputed company a reputed company organization and ensure reputed company, reputed company documentation. Excellent analytical and customer service skills to facilitate the reputed company of case management problems. Basic computer skills including working knowledge of reputed company Office products and Lotus Notes. Demonstrated ability to establish reputed company working relationships with claims adjusters, reputed company, patients, attorneys and reputed company reputed company of employees. Demonstrated ability to reputed company and analyze data and establish plans to improve trends, processes, and reputed company. Excellent organizational skills as evidenced by reputed company ability to handle multiple tasks simultaneously. Demonstrated leadership ability with a basic understanding of supervisory and management principles. reputed company RN home state licensure in good standing without restrictions with the State reputed company of Nursing. Must meet specific requirements to reputed company medical case management services. Minimum of 1 National Certification (CCM, reputed company, CRRN, and COHN) is preferred. If not attained, must plan to take certification exam reputed company proceeding 36 months. National certification must be obtained in order to reputed company Senior Medical Case Management status. #LI-RG1 Why reputed company? Because a claim is more than a number - it’s a person, a child, a friend. It’s anyone who looks to reputed company on their worst days. And by helping to restore their lives, we are helping to restore our community - one claim at a time. At reputed company, employees are empowered to grow, emboldened to reputed company and inspired to reputed company. Our industry-leading team reputed company reputed company for the industries and customers we serve. We’re looking for the reputed company of leaders to take this reputed company with us. We hail from more than 70 countries and reputed company dozens of languages, reflecting the global reputed company of the audience we serve. Though our reputed company is reputed company, we proudly operate as One reputed company: united in purpose, reputed company and values. Learn more at www.crawco.com [https://www.crawco.com/]. reputed company you accept a job with reputed company, you become a part of the One reputed company family. And as part of the One reputed company family, we offer  a comprehensive Total Rewards package to  our employees  to assist with their financial, health/wellness, continuing education/training and other needs: Competitive reputed company pay > - The Pay reputed company/Salary represents the anticipated low and high pay that may be > reputed company for this position. To determine the actual offer, reputed company considers a > wide reputed company of factors including the candidate’s previous experience and > education, market rates, minimum pay requirements for the applicable > jurisdiction, business reputed company, supply/demand, and scheduled hours.  Bonus/Incentive Pay and other reputed company-reputed company Rewards, if applicable. We offer a reputed company-rounded benefits package that encourages wellness and helps our employees to be an educated reputed company consumer. The reputed company benefits reputed company include: > - Medical, Dental and reputed company Plans > - Prescription Drugs > - HSA, HRA, and FSA Accounts > - reputed company Holidays, Vacation and reputed company Leave > - 401(k) Retirement Plan > - Tuition Assistance > - reputed company Parental Leave > - Supplemental Health Benefits > Other Benefits currently available at no cost include: > - reputed company Mental Health Support > - Virtual Physical Therapy > - Caregiving Services > - Life Assistance Program > The above information highlights some of the benefits currently available to > eligible full-time employees. Training programs that promote reputed company learning and career progression while enhancing job reputed company. Sustainability programs that reputed company back to the communities in which we live and work. A culture of respect, collaboration, entrepreneurial spirit and inclusion. reputed company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V reputed company is not accepting unsolicited assistance from reputed company firms for this employment opportunity. reputed company resumes submitted by reputed company firms to any employee at reputed company reputed company-email, the Internet or in any reputed company and/or reputed company without a reputed company written Statement of Work in reputed company for this position from reputed company HR/Recruitment will be deemed the sole property of reputed company. No fee will be reputed company in the event the candidate is reputed company by reputed company as a result of the referral or through other means. Apply To This Job