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Job Title
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Telephonic Nurse Case Manager (RN)
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Date
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2009-12-06 |
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Company
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SOS Staffing
(View All Jobs)
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Location
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Klamath Falls,
OR
97603
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Category
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Healthcare
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Posted by
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Kally |
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Job Description
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Description
Tele-Nurse Certified Disability Management (RN)
Hours: Full Time
Pay: DOE
Job Benefits: Medical, Dental, Vision, PTO
Assignment Type: Direct Hire
Location: Klamath Falls, OR 97603 Klamath County
Be a part of something that matters!
Employment Trends is currently looking for a Registered Nurse with emphasis in Disability Management. Our client offers office based telephonic medical case management with emphasis on early intervention, return to work planning, coordination of quality medical care on claims involving disability and medical treatment as well as in-house medical reviews as applicable to claim handling laws and regulations. The Tele-Nurse will be responsible for ensuring injured parties receive appropriate treatment directly related to the compensable injury or assist claim handlers in managing medical treatment to an appropriate resolution.
Duties: - Contact medical provider and injured parties on claims involving medical treatment and /or disability to coordinate appropriate medical care.
- Develop medical management strategy and give the provider information necessary to facilitate a return to work plan on claims requiring disability management.
- Responsible for ongoing evaluation of treatment and return to work plan, within established protocols.
- Work with medical providers and suggest cost effective treatment alternatives, when appropriate to reduce claim duration and expenses
- Help ensure that all injured parties are on an aggressive treatment plan.
- Authorize medical treatment and associated diagnostic testing on assigned claims as allowed by state or policy jurisdictions.
- For nurses handling Workers Compensation Claims, perform Utilization Review according to established guidelines.
- Proactively manage the medical expenses by partnering with specialty resources to achieve appropriate claim outcomes (Legal, Risk Control, Disability Management) Obtain medical records from providers telephonically during initial contact, and follow up with written correspondence if necessary.
- Discuss medical information and disability status with claim handler and integrate into overall strategy to ensure appropriateness of indemnity payments.
- Provide technical assistance and act as a resource for claim handling staff.
- Contact employer to initiate modified duty or full return to work.
- Obtain job description and discuss job modifications required to ensure a prompt return to work.
- Medical Case Manager will work with employer, injured party, provider and claim handler to expedite return to work.
- Identify cases requiring task assignments to field case managers, discuss with supervisor for assignment to Medical or Vocational Case Manager, or vendor.
Requirements: - Registered Nurse Certification -Certified Disability Management Specialist
- Excellent oral and written communication skills
- Computer literate
- Knowledge of medical causation and relatedness, as well as use of medical treatment protocols and physician advisor review programs
- Understanding of Workers Compensation Laws
- 5-10 years experience
Job Perks: - Challenging work
- Growing Company
- Competitive compensation
- Family friendly
- Fast paced
- Financially sound
- Open communication
- Reputable firm
- Full benefit package (beyond Medical/Dental/Vision/Vacation)
- Fun work environment
To Apply:
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Telephonic Nurse Case Manager (RN)
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