Field Case Manager Job Description Template
Our company is looking for a Field Case Manager to join our team.
Responsibilities:
- Other duties may be assigned;
- Coordinates injured workers’ appointments and arranges and/or personally escorts him/her to the appointments;
- Maintains phone contact with all parties involved to monitor, update, and advance case activity to ensure the progress of the case;
- Explains physician’s and therapists’ instructions, and answers any other questions the claimant may have to facilitate his/her return to work;
- Proactively provides assistance to resolve client issues with regards to assigned physicians;
- Participate in scheduled physician meetings with Sales representatives;
- Work collaboratively with Personal Care Specialists, Wellness Case managers and Sales representatives;
- Follow up with MD to insure patient status updates are shared;
- Assist MDs in completing Special Authorization (SA) forms, enrolment forms, prescription renewals, and other documentation;
- Customize current program elements to meet the needs of assigned physicians: adjust based on in clinic and remote MD needs;
- Provide therapy guidelines to manage physician expectations with respect to reimbursement;
- Work in the field and perform regular services calls with MD and/or Office staff;
- Identify areas for risk and foster proactive, continued quality improvement;
- Accurate and timely patient charting in CRM;
- Consult patient charts in order to effectively complete necessary paperwork to obtain coverage.
Requirements:
- Have an unencumbered current Registered Nurse Licensure;
- Benefits;
- Superior written and oral communication skills;
- Own Vehicle and ability to travel extensively in local territory;
- Must have CCM, CRRN, COHN, or CDMS certification.