Case Coordinator

Job Details

Case Coordinator

Department: Occ Med

• CFH

Usual Schedule: M-F 8am-5pm

Regions: Carle Foundation

On Call Requirements: No

Job Category: Clerical/Admin

Work Location: Carle Urbana North Annex

Employment Type: Full

• Time

Nursing Specialty:

Job Post ID: 41495

Secondary Job Category:

Experience Requirements: 3 - 5 Years

Weekend Requirements: No

Education Requirements: Not Indicated

Shift: Day

Location: Urbana, IL

Holiday Requirements: No

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Check out this job opening for Carle Providers: Case Coordinator Check out this job opening for Carle Providers: Case Coordinator

Job Description

JOB SUMMARY:

Develops an effective system of communication with physicians, patients, employers, insurance carriers, and rehab consultants in order to monitor treatment progress and outcomes, and to ensure appropriate, timely, cost-effective, and seamless treatment delivery for patients receiving treatment for work related injuries.

EDUCATIONAL REQUIREMENTS

Bachelors Related Field or Associates Nursing or College Diploma Nursing or three years experience in Worker's Compensation delivery systems is valid substitution for academic achievement.

CERTIFICATION & LICENSURE REQUIREMENTS

Applicable Illinois Licensure for Registered Nurse or Licensed Practical Nurse if educational background is nursing.

EXPERIENCE REQUIREMENTS

Three (3) years Related Field

SKILLS AND KNOWLEDGE

Extensive and practical knowledge base re: the Illinois Worker's Compensation Act and its provisions; employer and insurance carrier issues/needs/expectations; counseling and problem solving skills with individuals at a variety of levels. Requires knowledge of medical terminology; strong organizational skills, effective communication and interpersonal skills; ability to think on one's feet; ability to work effectively and confidently with patients, physicians, employer representatives, insurance adjusters, and Carle staff. Ability to effectively prioritize and clearly document communications and provide consistent, timely follow-through. Ability to work independently as well as collaboratively and to function as part of a team.

ESSENTIAL FUNCTIONS:

• Arranges/coordinates case conferences as necessary regarding occupational rehabilitation clients.

• Contacts payers to obtain prior authorization for services; documents and conveys payment.

• Develops and implements a comprehensive, effective system of communication with physicians, employers, insurance carriers, rehab consultants, attorneys, and counseling of patients.

• Educates staff regarding Worker's Compensation and return-to-work issues.

• Evaluates cases and assists providers with treatment plans.

• Monitors progress/outcomes (in treatment) to ensure appropriate, timely, cost-effective, seamless treatment delivery for patients receiving treatment for work related injuries and those referred for rehabilitation.

• Schedules functional capacity evaluations, functional abilities assessments, work conditioning baseline evaluations, and work conditioning.

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All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. We are committed to creating a diverse and welcoming workplace that includes partners with diverse backgrounds and experiences. We believe that enables us to better meet our mission and values while serving customers throughout our communities. People of color, women, LGBTQIA+, veterans and persons with disabilities are encouraged to apply. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal state and local ordinances. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com. Positions are not available for remote work in the state of Colorado.

Effective September 20, 2021, the COVID 19 vaccine is required for all new Carle Health team members. Requests for Medical or Religious exemption will be permitted.

Illinois Required Notices

• Your Rights Under Illinois Employment Laws

Federal Required Notices

• Employee Rights under FLSA

• OSHA

• Employee Rights under FMLA

• EEO It's The Law

• Pay Transparency Nondiscrimination Provision

• Employee Polygraph Protection Act

• Your Rights under USERRA