ColumbusRecruiter Since 2001
the smart solution for Columbus jobs

Medical Case Manager - Seasonal

Company: Broadspire By Crawford Company
Location: Columbus
Posted on: January 13, 2021

Job Description:

Responsibilities- Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individuals medical status, identifies needs and obstacles to medical case resolution and RTW by providing proactive case management services. Render 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 intervention. May perform job site evaluations/summaries to facilitate case management process. Facilitate timely return to work date by establishing a professional 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 all parties involved on case, necessary for case management the injured worker/disabled individual. May obtain records from the branch claims office. May review files for claims adjusters and supervisors for appropriate referral for case management services. May meet with employers to review active files. Makes referrals for Peer reviews and IMEs by obtaining and delivering medical records and diagnostic films, notifying injured worker/disabled individual and conferring with physicians. Utilizes clinical expertise and medical resources to interpret medical records and test results and provides assessment accordingly. May spend approximately 70% of their work time traveling to homes, health care providers, job sites and various offices as required facilitating RTW and resolution of cases. Meets monthly production requirements and quality assessment (QA) requirements to ensure a quality product. Reviews cases with supervisor monthly to evaluate files and obtain directions. Upholds the Crawford and Company Code of Business Conduct at all 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 perform other related duties as assigned. Requirements- Associates degree or relevant course work/certification in Nursing is required. Minimum of 3-5 years diverse clinical experience and one of the below Certification as a case manager from the URAC-approved list of certifications; A bachelors (or higher) degree in a health or human services related field; A registered nurse (RN) license. Valid RN licensure in the state(s) the incumbent works in. Must meet specific licensing requirements to provide medical case management services. Minimum of 1 National Certification (CCM, CDMS, CRRN, and COHN) is highly preferred. If not attained, must plan to take certification exam within proceeding 24 months and have a minimum of 4 years WC case management experience/demonstrated excellent performance in a similar position with another organization. Travel may entail approximately 70% of work time. Must maintain a valid drivers license in state of residence. 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 return-to-work solutions within a matrix organization and ensure timely, quality documentation. Excellent analytical and customer service skills to facilitate the resolution of case management problems. Basic computer skills including working knowledge of Microsoft Office products and Lotus Notes. Demonstrated ability to establish collaborative working relationships with claims adjusters, employers, patients, attorneys and all levels of employees.

Keywords: Broadspire By Crawford Company, Columbus , Medical Case Manager - Seasonal, Healthcare , Columbus, Ohio

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Healthcare Jobs


Physician / Family Practice / Ohio / Permanent / FM/IM Provider Needed
Description: Job Details: ul li Pay Rate: Salary: Competitive ul li Sign-On
Company: Locum Life..
Location: Middletown
Posted on: 01/18/2021

RN-OR Travel Nurse Opportunity in Middletown, OH - Job 510515
Description: RNnetwork has an excellent travel opportunity for a provider experienced in the following specialty: RN-OR. This opportunity will be available in Middletown,
Company: RNnetwork
Location: Middletown
Posted on: 01/18/2021

Travel Progressive Care - Step Down RN
Description: NurseStat is looking for a Travel Progressive Care - Step Down RN in Mansfield, OH.This is a 4 week assignment scheduled to start on 1/18/2021 and run through 2/13/2021.Shift: Nights. Possible on calls (more...)
Company: AHS NurseStat
Location: Mansfield
Posted on: 01/18/2021


STNA / Nursing Assistant - Hiring Now
Description: Tired of the typical staffing agency work life, but love the freedom of picking up STNA shifts at multiple facilities, whenever it fits in your schedule ShiftMed is leading the way for Nursing Assistants (more...)
Company: ShiftMed
Location: Middletown
Posted on: 01/18/2021

Telemetry RN
Description: trustaff is currently seeking an experienced Telemetry Registered Nurse for a 13-week travel contract. br br The Telemetry Nurse RN provides care and constant monitoring of patients, often in critical (more...)
Company: trustaff
Location: Mansfield
Posted on: 01/18/2021

Licensed Practical Nurse (LPN)
Description: EARN A 5,000 SIGN ON BONUS Are you a passionate nurse looking to be a part of an encouraging and supportive company Well, look no further We want you to join our Atrium Centers team.During these times (more...)
Company: Lexington Court Care Center
Location: Mansfield
Posted on: 01/18/2021

Travel Telemetry RN
Description: NurseStat is looking for a Travel Telemetry RN in Mansfield, OH.This is a 8 week assignment scheduled to start on 1/18/2021 and run through 3/13/2021.Shift: Nights. Possible on calls and weekends.You (more...)
Company: AHS NurseStat
Location: Mansfield
Posted on: 01/18/2021

University Hospitals: Registered Nurse. Elyria Clinical Float Pool (Days)
Description: Job DescriptionDescription Provides safe efficient age specific nursing care to patients and families using the nursing process
Company: University Hospitals
Location: Elyria
Posted on: 01/18/2021

Oncology Nurse
Description: Job Description Requirements Registered Nurse - Outpatient Oncology - RN-OPOnc StartDate: ASAP Available Shifts: 11.5 D Pay Rate: 2250.00 - 2481.00 As a valued member of this nursing team, you will (more...)
Company: American Mobile Healthcare
Location: Middletown
Posted on: 01/18/2021

Physician / Psychiatry / Ohio / Permanent / Psychiatrist Job
Description: Psychiatrist needed in the Newark, Ohio Outpatient work br Outpatient
Company: FCS - Psychiatric Recruitment
Location: Newark
Posted on: 01/18/2021

Log In or Create An Account

Get the latest Ohio jobs by following @recnetOH on Twitter!

Columbus RSS job feeds