Description:
Job Overview:Responsible for assessing and analyzing an injured employee to evaluate the medical and vocational needs required to facilitate the patient's appropriate and timely return to work. Acts as a liaison with patient/family, employer, provider(s), insurance companies, and healthcare personnel.Job Responsibilites:
-Assesses and analyzes an injured employee's medical and vocational status. Develops a plan of care to facilitate the patient's appropriate and timely return to work.
-Interviews patient's in their homes, work-sites, or physician's office to provide ongoing case management services.
-Monitors patient progress toward desired outcomes through assessment and evaluation.
-Communicates both in-person and telephonically with patient, medical providers, attorneys, employers and insurance carriers. Prepares all required documentation of case work activities.
-May arrange referrals, consultations and therapeutic services for patients. Confers with specialists concerning course of care and treatment.
-Develops and administers educational and prevention programs.
-Applies all laws and regulations that apply to the provision of rehabilitation services. Applies all special instructions required by individual insurance carriers and referral sources.
-Testifies as required to substantiate any relevant case work or reports.
- Performs other duties as assigned.
Qualifications:
-Registered nurse with current state (CA) RN license.
-Previous (3 or more years) Case Management experience required.
-Bachelor's degree or equivalent experience preferred.
-CCM, CRRN, COHN, or CDMS eligibility or current certification encouraged. These designations are required where dictated by state law.
-Knowledge of laws and regulations governing delivery of rehabilitation services.
-Knowledge of Workers' Ccompensation and disability industry
-Strong problem solving and analytical skills.
-Ability to work independently,requires working from home office.
-Strong computer skills with MS Office: Word, Excel and Outlook, requires the use of a laptop computer and smart phone. Able to complete automated files.
-Regular, daily local travel required.
-Professional communication skills both written and verbal. Able to make outbound calls is required. Fluent in Spanish both written and verbal.
-Excellent time management, organizational, and interpersonal skills.Coventry Health Care is an Affirmative Action/Equal Opportunity Employer, and we are committed to building a talented and diverse team.
Job: Professionals
Primary Location: Los Angeles, CA, US
Other Locations: Pasadena-California-United States,
Organization: 43000 - CHC Workers Compensation
Schedule: Full-time
Job Posting: 2013-07-31 00:00:00.0
Job ID: 1311540
Job Overview:Responsible for assessing and analyzing an injured employee to evaluate the medical and vocational needs required to facilitate the patient's appropriate and timely return to work. Acts as a liaison with patient/family, employer, provider(s), insurance companies, and healthcare personnel.Job Responsibilites:
-Assesses and analyzes an injured employee's medical and vocational status. Develops a plan of care to facilitate the patient's appropriate and timely return to work.
-Interviews patient's in their homes, work-sites, or physician's office to provide ongoing case management services.
-Monitors patient progress toward desired outcomes through assessment and evaluation.
-Communicates both in-person and telephonically with patient, medical providers, attorneys, employers and insurance carriers. Prepares all required documentation of case work activities.
-May arrange referrals, consultations and therapeutic services for patients. Confers with specialists concerning course of care and treatment.
-Develops and administers educational and prevention programs.
-Applies all laws and regulations that apply to the provision of rehabilitation services. Applies all special instructions required by individual insurance carriers and referral sources.
-Testifies as required to substantiate any relevant case work or reports.
- Performs other duties as assigned.
Qualifications:
-Registered nurse with current state (CA) RN license.
-Previous (3 or more years) Case Management experience required.
-Bachelor's degree or equivalent experience preferred.
-CCM, CRRN, COHN, or CDMS eligibility or current certification encouraged. These designations are required where dictated by state law.
-Knowledge of laws and regulations governing delivery of rehabilitation services.
-Knowledge of Workers' Ccompensation and disability industry
-Strong problem solving and analytical skills.
-Ability to work independently,requires working from home office.
-Strong computer skills with MS Office: Word, Excel and Outlook, requires the use of a laptop computer and smart phone. Able to complete automated files.
-Regular, daily local travel required.
-Professional communication skills both written and verbal. Able to make outbound calls is required. Fluent in Spanish both written and verbal.
-Excellent time management, organizational, and interpersonal skills.Coventry Health Care is an Affirmative Action/Equal Opportunity Employer, and we are committed to building a talented and diverse team.
Job: Professionals
Primary Location: Los Angeles, CA, US
Other Locations: Pasadena-California-United States,
Organization: 43000 - CHC Workers Compensation
Schedule: Full-time
Job Posting: 2013-07-31 00:00:00.0
Job ID: 1311540
