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RN Case Manager

Company: Status Medical Management
Location: Modesto
Posted on: August 12, 2019

Job Description:

-- Will be responsible for the assessment, planning, coordination, implementation, and evaluation of injured workers involved in the medical case management process-- Works as intermediary between carriers, attorneys, med care providers, ERs and EEs and uses clinical/nursing skills to coordinate a treatment program with cost effective care to produce a medically rehabilitated individual ready to return to optimal level of work and functioning.-- Works to interpret and educate the patient on his/her disability and the tx plan of case manager and providers. Explains provider instructions and answers any questions he/she may have regarding tx/return to work-- Works with providers to set up medical evals, and develop tx plans meeting state and other regulatory guidelines.-- Researches alternative tx programs such as pain clinics, home health care, etc---coordinates enrollment and monitors progress to insure quality, cost-effectiveness, and minimize time away from work.-- Coordinates and attends injured worker medical appointments-- Prepares detailed evaluation reports, documenting each phase of activity as it is completed, ensuring a comprehensive and detailed source of information for all parties involved in the case.-- Maintains phone contact with all parties to monitor, update, and advance case activity to ensure progress of the case.-- Is capable of maintaining close relationships among all parties both in person, and on the phone, and must be available and responsive to all parties concerned.-- Acquires and maintains knowledge of developments in the case management field-- Keeps abreast of local workers comp laws as well as other issues related to the case management/managed care industry.-- Other duties may be assigned.

Keywords: Status Medical Management, Modesto , RN Case Manager, Executive , Modesto, California

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