RN, Case Manager

EOE Statement: We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. Position Requirements High School Diploma Current valid State Driver’s license Registered Nurse (RN-BC) Outstanding English language skills: speaking, writing, grammar, professional communication Proficient working with PCs and Windows and MS Office Suite (ability to type/key at a moderate speed) and willingness to learn new technologies Excellent prioritization, problem solving, organization and time management Strong character: Dependability, Honesty, Determination and Compassion Ability and willingness to obtain CCM certification after the first year of employment Ability and willingness to establish home office with strong internet connection Understanding and appreciation of excellent customer service and a desire to serve All credentials and licensure must be valid and maintained Preferred Qualifications Bachelor’s Degree or Higher Education Related Certifications: CCM, CDMS, ACM, LCSW and/or CRC Background in Nursing, Social Work, Counseling, Occupational Health, Psychology, and/or Chiropractic. Job Description Feel the Value of Excellence by providing quality medical case management for injured workers, coordinating appropriate care, making recommendations, and professionally communicating with insurance carriers, healthcare providers, ancillary vendors, employers, and attorneys. Make a difference by driving to and attending medical appointments in-person. Complete prompt and thorough documentation and qualify for bonus compensation. Enjoy inserting your own style into the work you do and benefiting from more flexibility at work. This position offers the privilege to impact your earnings and the opportunity to adjust your schedule. Do you have a strong work ethic and high integrity? Then this very rewarding and autonomous role might just be the right fit! Compensation Range $120,000.00 to $200,000.00 annually General Summary Provide field-based case management services (within the worker’s compensation industry) by utilizing professional judgment and discretion, applying professional processes, and adhering to Case Management Society of America (CMSA), ISYS, and customer guidelines. Facilitate appropriate qualitative and timely medical care for injured workers by implementing prudent case management strategies, demonstrating proactive communication, and appropriate coordination with all parties to enable optimal recovery outcomes, including return to work determination, file progression towards Permanent and Stationary designation, and cost containment for the customer. Facilitate timely claim resolution through proactive and professional communications, conducting case specific research, information analysis and providing appropriate advice, direction, and action plans to implement treatment and optimize realistic outcomes. Essential Job Functions Frequent travel (Driving) throughout designated geographical service areas to in-person appointments/visits. Potential overnight or air travel for special occasions or special geographies, or for coverage purposes. Management of cases as assigned by ISYS, including “rush”/same day referrals from ISYS’ customers and attendance at medical appointments scheduled during the hours of the facilities providing treatment. Autonomous management of assigned caseload, including coordination of weekly and daily work activities and schedule, ensuring optimal time management and professional prioritization of all activities. Conducting onsite Case Management services following the CMSA guidelines and ISYS protocols and procedures. Enthusiastically and professionally coordinate, facilitate, conduct, and complete in-person attendance at physician appointments, hospital visits, case conferences, home visits, and ancillary providers to facilitate treatment recommendations in a timely manner. Initiate and conduct professional discussions with medical providers regarding diagnosis, treatment, and prognosis. Apply the case management process, education, and experience to facilitate appropriate and timely treatment and recovery of the injured worker with the goal of maximal recovery and maximal return to work. Provide proactive and timely communication, and coordinate collaboration with all parties involved in each case, in-person, by phone, and/or in writing. Support the injured worker’s progress towards achieving Maximum Medical Improvement and foster realistic and effective Return to Work opportunities by exploring viable options with all involved parties. Benefits The ability to impact your own income through conscious effort; compensation includes both biweekly salary and bonus. Ongoing bonus pay is not capped, allowing high earning potential. The opportunity to adjust your work schedule and navigate responsibilities in a way that fits your personal preference and workstyle. PTO (vacation) is accrued monthly, with the possibility of earning bonus PTO rewards annually for additional time off. A tax‑deferred retirement program, a flexible schedule, medical, dental, and vision insurance, ancillary supplement health plans, long‑term disability insurance, and an employee assistance program. Additional perks such as training and professional development opportunities. Additional Information This position is currently accepting applications. #J-18808-Ljbffr