Field Case Manager (Roanoke, VA)

Genex Services Glen Allen , VA 23058

Posted 1 week ago

Company Overview

Mitchell, Genex and Coventry

With Mitchell, Genex and Coventry now one organization, we've dramatically expanded our ability to deliver innovative services and technologies to our customers. We've also seen career opportunities within our combined organization grow. Each part of our organization helps people recover after a challenging event in their lives.

Mitchell delivers trusted software and services to the property & casualty claims, collision repair and risk management industries with technology-enabled solutions that simplify claims handling, repair processes and pharmacy transactions. Genex helps injured workers return to their jobs in a safe and efficient manner through compassionate case management, reducing health care costs and disability expenses for our customers. Coventry offers the nation's largest and most diverse set of provider and ancillary networks focused on improving total overall outcomes.

Together, we bring a complete set of proven capabilities for our partners who require more than one-dimensional solutions. We combine innovative technology, insightful analytics and deep expertise to help them reach their ultimate goal-restoring lives.

Job Description

Part-time field case manager needed for Roanoke, VA and surrounding areas.

The Field Case Manager is 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.

This position requires frequent driving and is considered a "field" position.

  • Job duties are performed in home office and out in the field. Driving is required approximately 50-60% of the time.

  • Using clinical 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.

  • Facilitate treatment between providers and worker.

  • Resource for claims personnel when needing providers in certain locales.

  • Partner with employers determining modified work.

  • Accurate and quality documentation meeting Best Practices timeframes.

  • Reporting billing hours in accordance with case activity and billing practices.

  • Following specific account instructions.

  • Demonstrates a level of professionalism within the work place and in dealing with injured workers reflects positively on the company as a whole.

Knowledge:A seasoned, experienced professional with a full understanding of area of specialization; resolves a wide range of issues in creative ways. You will be responsible for managing an average of 25-35 cases per month. A clinical background related to trauma, neurological, orthopedic, or occupational health nursing is required. Worker's compensation experience is required.

Job Complexity: Works on problems of diverse scope where analysis of data requires evaluation of identifiable factors. Demonstrates good judgment in selecting methods and techniques for obtaining solutions. Networks with senior internal and external personnel in own area of expertise.

Supervision: Normally receives little instruction on day-to-day work, general instructions on new assignments.

Qualifications

This is a remote position but candidates must be located in the Roanoke, VA area.

  • Worker's compensation or disability management experience.

  • Proven experience in Nurse Case Management.

  • Two to five years' experience as a field case manager.

  • Must have excellent time management and organizational skills.

  • Written Abilities: Proficient grammar, sentence structure and written communication skills are required.

  • Technical Experience: Knowledge of basic computer skills including Excel, Word, and Outlook Email is required. You will also need direct access to the internet.

  • Spanish speaking a plus.

  • Licenses or Certifications: Current, unencumbered Registered Nurse license in the resident state; CCM, COHN preferred, or able to sit for exam within one year of employment. Must have reliable transportation M-F, 8am-5pm Pacific Time. Must have local unencumbered driver's license and proof of automobile insurance.

  • Location: Remote, home office.

Mitchell International, an equal opportunity employer, values the diversity of our workforce and the knowledge of our people. Mitchell will not discriminate against an applicant or employee on the basis of race, color, religion, national origin, ancestry, sex/gender, age, physical or mental disability, military or veteran status, genetic information, sexual orientation, gender identity, gender expression, marital status, or any other characteristic protected by applicable federal, state or local law.

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Field Case Manager (Roanoke, VA)

Genex Services