Req ID: 14999BR
THIS POSITION IS LOCATED IN LAS CRUCES , NM, AS A WORK AT HOME/FIELD POSITION
RN Field Case Manager Job Description:
BILINGUAL SPANISH PREFERRED
Are you an RN looking for better work/life balance? Do you want to plan your own day? ~ Do you want a job with flexibility and where you work from home? Do you want to make commission based on the quality of you work? If you answered "YES" to any of these questions, then a position as a Field Case Manager with Coventry is what you have been looking for! Our FCM's are dedicated healthcare professionals with a focus on providing quality care. You will meet with injured workers in the field and assess the medical and/or vocational components of injured worker's situation to restore injured worker's function, capacity and self-esteem.** In addition to a competitive base salary, our unique commission plan rewards the FCM based on the quality and completeness of their work/documentation, for hours worked over 40. This promotes a great customer service and value to our clients. Home office, cell phone, mileage , salary with monthly bonus potential
MAJOR DUTIES AND RESPONSIBILITIES: Assesses and analyzes injured worker's medical and/or vocational status and develops a viable, realistic service plan. Meets with clients in their homes, work-sites, physician's or therapist's office to provide on going case management services. Develops a plan of care for patients from admission to discharge. Monitors patient progress toward desired outcomes through assessments and evaluations. Communicates both in-person and telephonically with client, medical providers, attorneys, employers, insurance carriers, etc. Develops and administers education and prevention programs. Develops guidelines for working with patients, healthcare management companies, insurance companies or other third party payers to determine quality, cost-effective care. Applies all special instructions required by individual insurance carriers and referral sources. Applies all laws and regulations that apply to the provision of rehabilitation services. Testifies when called upon to do so, to substantiate any casework or reports that may be seen as relevant to hearing involving client. Evaluates outcome of patient care. Prepares reports and other required paperwork as documentation of all casework activities at May arrange referrals, consultations, therapeutic services, and confers with other specialists on course of care and treatment. Attends staff meetings Participates in sales activities.
HOME OFFICE WITH LAP TOP AND CELL PHONE...AUTONOMY!
- Bilingual Spanish preferred
- Registered nurse with current state RN license.
- Previous (3 or more years) case management experience required.
- Bachelors degree or equivalent experience preferred.
- CCM, CRRN, COHN, or CDMS eligibility or current certification required. These designations are required where dictated by state law.
- Workers' compensation experience, case management experience preferred.
- Knowledge of laws and regulations governing delivery of rehabilitation services.
- Knowledge of workers; compensation and disability industry.
- Strong problem solving and analytical skills.
- Ability to work independently (may require working from home).
- Demonstrated PC skills (may require the use of a laptop computer).
- Regular local travel required. Must have current drivers' license and be willing to travel
- Must be computer literate.
- Demonstrated communication, organizational, and interpersonal skills.
Job Function: Workers' Compensation