Workers Compensation RN Case Manager

Category:

Healthcare & Medical

Employment Type:

Direct Hire

Reference:

BH-383788

Workers Compensation RN Case Manager
needed for a permanent
opportunity with Yoh's client located in Alameda, CA
Top Skills Should You Possess:

• MUST BE RN
  with 2+Years experience in California Workers Compensation working as a Field Case Manager
  

• New case assignments and completion of referral process
• Reviews medical records, formulates and implements plan of care and obtains all appropriate and required documentation needed to move claim
• Travels to and attends physician visits to obtain status, treatment plan, and address return to work while obtaining supporting documentation from the visit
• Implements and utilizes all necessary resources to achieve goals and measurable outcomes. Proactively implements all plans of care to facilitate rehabilitation and recovery for the individual
• Maintains Choices policies and procedures in meeting contacts and reporting timelines
• Utilizes appropriate treatment guidelines and case management software to produce quality work product
• Implements resources and tools to ensure successful projections for return to function
• Maintains and fosters relationships with the medical community and contracted providers. Effectively communicates verbally and in writing, with all parties in the W/C process with pro-active and goal driven communication.
• Independently assumes responsibility to be knowledgeable of workers' compensation laws and disability benefits, utilization management, and rehabilitation for specific clients.
• Maintains strict confidentiality (HIPAA) of injured worker's private health information, medical, disability, and demographic information.
• Prepares and submits professionally typed initial/progress/closure case management reports, billing forms through utilization of protected company software program.
• Organizes, manages and maintains calendar, demonstrates time management and diaries to meet reporting requirements.
• Schedule: Monday - Friday, 8am - 5pm (Pacific)

• Two (2) years of experience in California Workers Comp required
• Registered Nurse (RN); Associate's degree (A.A.) or equivalent from two-year college.
• Bachelor degree preferred
• Strong clinical background in Nursing desired with two years related experience and/or training in Occupational or Employee Health or Integrated Disability Management.
• CCM certification preferred.
• Current California Registered Nursing License
• Current Driver's License and insured automobile require
• Excellent verbal and written communication skills
• Excellent computer skills

• Medical, Dental & Vision Benefits
• 401K Retirement Saving Plan
• Life & Disability Insurance
• Direct Deposit & weekly EPayroll
• Employee Discount Programs
• Referral Bonus Programs