Field Nurse Case Manager
Location: Hilo Hawaii
Description: GENEX Services, Inc. is employing Field Nurse Case Manager right now, this vacancy will be placed in Hawaii. Detailed specification about this vacancy opportunity kindly see the descriptions. We are currently seeking a Field Nurse Case Manager (RN) on the Big Island, Hawaii area.
Responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individual! s involved in the medical case management process. Working as an intermediary between carriers, attorneys, medical care providers, employers and employees, you will closely monitor the progress of the injured worker and report results back to the employer and insurance carrier. This will ensure appropriate and cost-effective healthcare services leading to a medically rehabilitated individual who is ready to return to an optimal level of work and functioning.
Main responsibilities will include but are not limited to:
- Using clinical/nursing skills to help coordinate the individual?s treatment program while maximizing cost containment.
- Explaining physician's and therapists' instructions, and answers any other questions the claimant may have in an effort to facilitate his/her return to work.
- Working with the physicians and therapists to set up medical assessments to develop an overall treatment plan that ensures cost containment wh! ile meeting state and other regulator's guidelines.
- R! esearching alternative treatment programs such as pain clinics, home health care, and work hardening.
- Coordinating all aspects of the individual's enrollment into the programs, and then monitors his/her progress, in an effort to maximize cost containment and minimize time away from work.
- Working with employers on modifications to job duties based on medical limitations and the employees functional assessment.
- May provide testimony on litigated cases.
- Coordinating injured workers' appointments and arranges and/or personally escorts him/her to the appointments.
- Documenting and reporting all case activity for accurate case management and billing procedures.
- Preparing detailed evaluation reports, as per account guidelines, and case recording documenting for each phase of activity as it is completed.
- Reporting billing hours in accordance with case activity and billing practices.
- Maintaining phone contact wit! h all parties involved to monitor, update, and advance case activity to ensure the progress of the case.
- Compiling a case inventory on a monthly basis for submission to the branch manager to allow for proper billing and to calculate hours for bonus purposes.
- Completing insurance carrier reports on a monthly (or as required) basis, as well as other necessary paperwork for the insurance company, state, or other regulatory bodies.
- Maintaining the necessary credentials and demonstrates a level of professionalism within the work place and in dealing with injured workers reflects positively on the company as a whole.
- Acquiring and maintaining knowledge of developments in the medical case management field.
- Keeping abreast of local workers? compensation laws and regulations, as well as other issues related to the case management/managed care industry.
- .
If you were eligible to this vacancy, please email us your! resume, with salary requirements and a resume to GENEX Services, Inc..!
If you interested on this vacancy just click on the Apply button, you will be redirected to the official website
This vacancy starts available on: Sun, 03 Nov 2013 09:35:33 GMT
No comments:
Post a Comment
Note: Only a member of this blog may post a comment.