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Medical Nurse Case Manager (Rn)

Overview We are currently seeking a Field Nurse Case Manager (RN). Responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management

Posted on September 26, 2017

Overview We are currently seeking a Field Nurse Case Manager (RN). Responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Working as an intermediary between carriers, attorneys, medical care providers, employers and employees, you will closely monitor the progress of the injured worker and report results back to the employer and insurance carrier. This will ensure appropriate and cost-effective healthcare services leading to a medically rehabilitated individual who is ready to return to an optimal level of work and functioning. Responsibilities Main responsibilities will include but are not limited to: + Using clinical/nursing skills to help coordinate the individual’s treatment program while maximizing cost containment. + Serving as an intermediary to interpret and educate the individual on his/her disability, and the treatment plan established by the case manager, physicians, and therapists. Explaining physician’s and therapists’ instructions, and answering any other questions the claimant may have in an effort to facilitate his/her return to work. + Working with the physicians and therapists to set up medical assessments to develop an overall treatment plan that ensures cost containment while meeting state and other regulator’s guidelines. + Researching alternative treatment programs such as pain clinics, home health care, and work hardening. Coordinating all aspects of the individual’s enrollment into the programs, and then monitors his/her progress, in an effort to maximize cost containment and minimize time away from work. + Working with employers on modifications to job duties based on medical limitations and the employees functional assessment. Helping employer rewrite a job description, when necessary and possible, in an effort to return the client to the workplace. + May provide testimony on litigated cases. + Coordinates injured workers’ appointments and arranges for transportation as needed. + Documenting and reporting all case activity is critical for accurate case management and billing procedures. + Maintaining all case documents in files ensuring a comprehensive and detailed source of information for all parties involved in the case. + Preparing detailed evaluation reports, as per account guidelines, and case recording documenting for each phase of activity as it is completed. + Maintains phone contact with all parties involved to monitor, update, and advance case activity to ensure the progress of the case. + Completing insurance carrier reports on a monthly (or as required) basis, as well as other necessary paperwork for the insurance company, state, or other regulatory bodies. + Maintaining professionalism at all times despite the stressful demands of the position. Capable of maintaining close relationships among all parties involved both in person and over the phone. Must be readily available for and responsive to all parties concerned. + Acquiring and maintaining knowledge of developments in the medical case management field. Keeping abreast of local workers’ compensation laws and regulations, as well as other issues related to the case management/managed care industry. This is also critically important in keeping licenses and certifications valid. + Participating in professional associations keeps the case manager informed of events in their field while establishing referral contacts. + May assist in training/orientation of new staff as requested. + Other duties may be assigned. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + Diploma, Associate or bachelors degree in nursing or bachelors degree (or higher) in a health or human services related field required. Masters level and/or advanced study in a health-related field desired. + Minimum of two (2) years full time equivalent of direct clinical care to consumers required. Workers’ compensation-related experience preferred. Prior case management experience preferred. + A current, unrestricted license or certification to practice a health or human services discipline in a state or territory of the United States that allows the health professional to independently conduct an assessment as permitted within the scope of practice of the discipline; or + In the case of an individual in a state that does not require licensure or certification, the individual must have a baccalaureate or graduate degree in social work, or another health or human services field that promotes the physical, psychosocial, and/or vocational well-being of the persons being served, that requires: + A degree from an institution that is fully accredited by a nationally recognized educational accreditation organization; + The individual must have completed a supervised field experience, in case management, health, or behavioral health as part of the degree requirements; and + URAC-recognized certification in case management within four (4) years of hire as a case manager + Pursue URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN or COHN) upon eligibility. Other state licenses/certifications as required by law. + Valid driver’s license required. + Experience in rehabilitation services industry, vocational/occupational/industrial nursing preferred. + Background in state workers’ compensation law and practices desirable. + Excellent interpersonal skills, phone manners, and organizational skills. + Ability to set priorities and work independently. + Computer literacy required. Job LocationsUS-AL-Montgomery Job ID2017-1711 CategoryField Case Management

RN Case Manager - Casual

Golden Living Prattville ,AL

Job Advertisement You're more than a RN Case Manager at AseraCare Hospice. With your vast experience, you know quality care and that's why we've entrusted you to join together with a team of spiritual care coordinators,

Posted on September 26, 2017

Job Advertisement You're more than a RN Case Manager at AseraCare Hospice. With your vast experience, you know quality care and that's why we've entrusted you to join together with a team of spiritual care coordinators, social workers and counselors. That's because we know you'll go to any length for our patients during their end-of-life journeys. You'll ensure patients receive care on a variety of levels because at AseraCare Hospice, we consider the whole patient. That's why you'll participate in our interdisciplinary approach while simultaneously leading by example and setting only the highest standards. You'll engage with the patient's entire family to help them and other caregivers understand and support the process. You'll see your impact in this highly valuable role every day, as you adjust to new working environments and make a profound difference in the lives you touch. We are looking for qualified and compassionate candidates with considerable nursing experience. You are independent, flexible, a leader and ready to inspire our talented medical professionals to uphold our promise of quality care. Ideal RN Case Manager candidates should also have: Manages overall care of assigned patients by coordinating and providing nursing assessment, planning and care to maximize the comfort and health of patients and families in accordance with the interdisciplinary plan of care. Supports the Provider Relations activities of the organization. Essential Job Functions + Initiates communication with attending physicians, other staff members and other agencies as needed to coordinate optimal care and use of resources for assigned patients/families. Maintains regular communication with the director of clinical services or patient care coordinator and physcian to review patient care. + Receives patient assignments from the director of clinical services or patient care coordinator. Assumes overall responsibility for assigned patients/families, including assessing, planning, implementing, re-evaluating and revising care as necessary. Obtains data on physical, psychological, social and spiritual factors that may influence patient/family health status and incorporates that data into the plan of care. + Maintains up-to-date patient records so that problems, plans, actions and goals are accurately and clearly stated and changes are reflected as they occur.Initiates and sustains, as needed, the implementation of orders for medications and treatments as prescribed by the physician in the physician's plan of care. + Accepts responsibility for managing overall care of the patient by providing direct patient care and by coordinating the physical care of the patient by teaching primary caregivers, volunteers and employed caregivers as appropriate. + Instructs the patient and caregiver how to administer medication and recognize side effects; how to perform personal care and oral hygiene; how to assist in lifting, moving, ambulation and exercise; how to prepare for the events preceding death; proper diet and other instructions as ordered by physician. + Informs the director of clinical services or patient care coordinator of unusual or potentially problematic patient/family issues. Provides appropriate support at time of death. Shares in providing 24-hour, seven-day-a-week coverage to patients and families. + Makes home health aide assignments, prepares written instructions for the aide and supervises the aide in the home. + Demonstrates familiarity with policies of the company and state and federal regulations pertaining to nursing services. + Participates on committees and special projects and other related duties as assigned. Contributes to team effort by accomplishing related results as needed. Accepts responsibility of assignment to perform specialized procedures, such as IV therapy, only when qualified with specialty training, proven competency, clinical background and expertise in the specialty area. From time to time this position will be expected to perform on-call professional duties. + Personnel are expected to participate in appropriate continuing education as may be requested and/or required by their immediate supervisor. In addition, personnel are expected to accept personal responsibility for other educational activities to enhance job-related skills and abilities. All personnel must attend mandatory educational programs. Qualifications - Must be a registered nurse with a current state license. - Must have current certification for CPR. - Must have a minimum of 1-year general nursing experience with current Hospice, medical, surgical or critical care experience. Experience with providing pain management and IV skills preferred. - Must demonstrate a commitment to the company's philosophy of care. - Must have experience in providing services to terminally ill patients. - Must be a licensed driver with a reliable automobile that is insured in accordance with state and/or organization requirements. - Must meet all local health regulations, pass post-offer drug test and pass post-employment physical exam if required. - Must be capable of maintaining regular attendance Job: Nursing Primary Location: Alabama, Prattville Schedule: Casual Shift: Day Job Shift Time: Department Address: 482 McQueen Smith Road SMedical Arts Building #1 Suite 103 Department City: Prattville Department State: AL Department Zipcode: 36066 Organization: AseraCare Company Profile As AseraCare Hospice professionals, helping our patients and their families to feel as comfortable as possible during a stressful and emotional time is at the heart of everything we do. We believe the hospice care journey is about compassion, commitment, and dignity. Partnering with our patients' personal physicians, we work to minimize pain and provide emotional and spiritual guidance for patients and their families as they prepare for change. As one of the nation's premier providers of hospice services, we offer a full range of hospice career opportunities. If you share our approach to delivering personalized, quality hospice care, we can deliver the independence, rewards and clinical excellence you want from your career! Prattville, AL Prattville, Alabama Golden Living and its Family of Companies ("the Company") is committed to a diverse workforce. For detailed information on your rights, click here. In order to ensure reasonable accommodation for individuals protected by the Americans with Disabilities Act, Section 503 of the Rehabilitation Act, and the Vietnam Veterans Readjustment Act, applicants that require accommodation in the job application process may contact our Human Resources Service Center at 800-261-3467 or via email at recruiting@goldenliving.com for assistance. The affirmative action plan will be made available for applicants to review M - F, from 9:00am to 4:00pm. Please contact the location leader to schedule. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity, disability, protected veteran status or other characteristics protected by law. Drug-Free Workplace. http://www.goldenliving.com/sites/corp/uploads/file/EEOposter.pdf

RN Case Manager / Hospice

Mem Healthcare Prattville ,AL

Job Description: We are seeking an RN Case Manager / Hospice to join our team! You will be responsible for the assessment, diagnosis, and treatment of assigned patients.Responsibilities:

Posted on September 26, 2017

Case Manager

Autauga Elmore Developmental Services Millbrook ,AL

Job Description: Join our team!We are a local non-profit organization serving children & adult with developmental disabilities. We are currently seeking an individual with a BA or BS in the human

Posted on September 26, 2017

Field Medical Case Manager III

York Risk Services Montgomery ,AL

Job Description: JOB SUMMARY: The Medical Case Manager provides medical and vocational assistance and coordination services to assist injured workers in reaching maximum medical improvement and return to work. The Medical

Posted on September 26, 2017

Job Description **JOB SUMMARY:** The Medical Case Manager provides medical and vocational assistance and coordination services to assist injured workers in reaching maximum medical improvement and return to work. The Medical Case Manager facilitates communication between all parties including the injured worker, the adjuster, the employer, treating physician(s) and ancillary providers to assist the injured worker in obtaining prompt and appropriate medical treatment. The Medical Case Manager assesses rehabilitation needs and makes appropriate recommendations. The ultimate goal is for the injured worker to recover and return to work as soon as is medically appropriate. The Medical Case Manager facilitates any temporary or permanent job modifications necessary to allow the injured worker to return to work within the applicable physical restrictions assigned by the doctor. The exact role the Medical Case Manager plays will vary with the injury management model used by each customer. The responsibilities on each case may vary. **ESSENTIAL JOB RESPONSIBILITIES:** * Maintains regular contact with all parties involved to facilitate communication and to provide medical and vocational management and coordination services * Arranges for prompt and appropriate medical treatment of an injured worker by qualified providers (choice of providers as per regulations); Schedules appointments to avoid delays in treatment by primary care physicians, specialists or ancillary services * Assists the treating physician in developing a written treatment plan for the injured worker, including the identity and scope of treatment by any other providers to which referrals have been made. Work with the medical providers to track progress and to modify the treatment plan as necessary until maximum medical improvement is achieved * Obtains medical reports and required work status forms. Ensures all parties receive appropriate reports * Facilitate authorization/certification of procedures, diagnostic testing, physical therapy/occupational therapy and durable medical equipment as per regulations to ensure appropriate treatment is not delayed * Cooperates with the treating physician to obtain a full or conditional release to return to work before injury becomes a lost time claim; Work with the treating physician to update any conditions as medical treatment progresses * Assesses the injured worker and his/her support system and family; Makes appropriate referrals throughout the continuum of care including educational, financial, and psychological or other human services as indicated * Coordinates with the employer to develop a modified duty job for the injured worker who cannot immediately return to his/her full pre-injury employment; The job must be consistent with any physical restrictions assigned by the treating doctor; Educates the employer on the tangible and intangible benefits of accommodating the injured worker to keep him in the work force * Where a return to work with the same employer is not possible, provide vocational services to the injured worker to identify vocational goals and develop an early return to work plan * Maintains constant contact with the adjuster assigned to the file through telephone calls, EMAIL and written reports. For each customer be aware of the limits of decision-making authority delegated by the adjuster to the case manager and respect these limits. Satisfy the documentation and reporting requirements of each customer * Makes appropriate use of Wellcomp physicians for adjuster support, peer-to-peer consultation and as professional resource; Make appropriate use of Wellcomp clinical and information systems staff to deliver exceptional service to direct & indirect customers * Organizes and review medical records to identify specific medical issues; Provides information and recommendations to appropriate parties * Acts as an advocate for the injured worker with all parties while maintaining the injured worker’s privacy and safety; Adheres to Wellcomp's confidentiality policies and procedures. Follows ethical, legal, and regulatory standards * Participates in the collection of outcome information and Wellcomp’s Quality Improvement process to determine the impact of case management activities on timely injury recovery, medical treatment, return to work, claim costs, and both injured worker and client satisfaction. The result achieves desirable outcomes for all * Maintains continuing education requirements per state license requirements. Maintains an updated and working knowledge of workers’ compensation and federal laws that impact the delivery of health care and return to work * Become proficient in the software used in the department * Contribute to the success of the company and its posture toward customer service by a positive and professional attitude and by understanding and responding to the needs of our direct and indirect customers; Follows ethical, legal, and regulatory standards * Performs other duties as assigned **SUPERVISORY RESPONSIBILITIES:** * The Medical Case Manager reports to the Team Manager, Case Management and has no direct reports. Required Skills **KNOWLEDGE: SKILLS/ABILITIES** * The ability to work effectively with minimal direct supervision * The ability to plan and use time effectively * The ability to work as a member of the Wellcomp team * Must be computer literate * Keyboard typing and dialing of telephone require hand dexterity and the repetitive use of finger movement * Due to the nature of the position, sitting in a sustained position for prolonged periods may be necessary * Vision must be adequate to view the computer screen * This may include occasional air travel and overnight stays * Must have the ability and willingness to travel for task and/or field case management visits if within assigned geographic areas * Must possess a valid driver’s license; Must provide proof of insurance Required Experience **EDUCATION:** * MA/ BS / BA in Nursing or Associates Degree in Nursing from accredited school with Equivalent Work Experience and a CCM, CIRS, CRRN, COHN or other related designation or; * BA/BS or MA in related field with a CCM, CDMS, or CRC or other related designation or; * Current Nursing license and/or certification * CCM required based on state guidelines. **EXPERIENCE:** * Three or more year’s workers compensation case management experience or related field *Tracking Code:* MONTGOMERY05221701 *Job Location:* Montgomery, Alabama, United States *Position Type:* Full-Time/Regular

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