Role Description Telephonic Case Manager - Rare Opportunity! EK Health is now hiring for a Telephonic Nurse Case Manager (RN) for our Case Management Team! This role includes:

• Assessing, planning, implementing, coordinating, and evaluating service options.
• Assisting the injured worker in receiving appropriate, cost-effective medical care for their injury in a timely manner.
• Expediting their return to work.

Position Logistics:

• Monday – Friday, 8:30am - 5:30pm local time, Full-time Remote.

NOTE:

• Requires a Compact RN license in good standing.
• Workers Compensation experience is preferred but not required.
• Wage is based on experience, education, certifications, and location (may be either hourly or salary based on individual state requirements).

Here’s a snapshot of what you’ll be doing (not all-inclusive):

• Communicate with medical providers, employers, and injured workers.
• Perform a complete nursing evaluation to determine the needs of the patient.
• Review and evaluate all medical correspondence, provider reports, & treatment plan history.
• Evaluate clinical status of claimant and research for alternative options to treatment as warranted.
• Communicate with the claims examiners regarding directives and provide updates on file status.
• Arrange transportation services when necessary and authorized.
• Evaluate therapy facilities and their progress on specific cases.
• Prepare comprehensive notes following any discussions had with injured worker, medical providers, claims examiners, and employers in the case file.
• Discuss the analyzed data and the comprehensive plan of care with the insurance representative prior to implementation.
• Upon authorization, implement this plan of care with patient, physician, and health care providers.
• Arrange for care/services as needed (home care, procedures, medication, equipment, or supplies).
• Monitor the plan of care with modifications or changes suggested to the patient and physician as the need arises.
• Coordinate information between all parties (injured worker, physicians, employer, other providers, such as therapists, and attorney, if any is involved).

Qualifications

• Graduate of an accredited school of nursing.
• 3-5 years clinical experience as an RN outside of school.
• Valid Compact RN license in good standing with no restrictions.
• Valid state-appropriate RN license in good standing with no restrictions.
• May be required to obtain CA RN License.
• Possesses and can demonstrate the professional and technical skills of a Registered Nurse.
• Experience in Case Management, Workers' Compensation experience preferred, but not required.
• Experience in Home Health Care, Occupational Health considered a plus.
• Excellent Written and Oral Communication Skills.
• Excellent Interpersonal & Organizational Skills.
• High comfort level with computers and computer programs (MS Word, MS Excel, Email).

Benefits

• Base pay $35-42/hr ($72,800 - $87,360 annually).
• Medical, Dental and Vision Insurance.
• 401K.
• Paid Time Off.
• Paid holidays.
• Equipment is provided.
• Monthly internet stipend.