About this opportunity
Corehealthnet lists this Remote Case Manager (RN) opportunity in baton rouge, Louisiana. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Overview
CORE Health Networks, the recognized leader in Integrated Occupational Medicine Services, provides integrated solutions to your occupational healthcare needs. We are currently seeking a full-time Case Manager (Registered Nurse) to work from home Monday through Friday from 8:30am to 5:00pm, Central Time.
We offer a highly competitive total compensation package which includes Health, Dental, Vision, Life, 401(k), Six Paid Holidays, Vacation and Sick Leave, Long-term disability and short-term disability benefits, and much more.
Position Overview
Under the direction of the Director of Injury Management, the Case Manager administers the intake of calls from contracted clients, an injured worker, Worker’s Compensation Insurance adjusters, Medical providers, and clinic staff. Provides exceptional service and quality treatment options to the patient and client throughout the injury management life-cycle.
Principal Duties and Responsibilities (Essential Functions)
Triage injury/illness calls to determine if emergent/non-emergent
Determine if injury/illness requires immediate treatment or first aid advice
Research/locate the nearest facility to utilize for injury
Contact medical facility to determine the availability of adequate services to meet the needs of the particular injury/illness; Coordination of visit via phone/fax.
Speak with Medical personnel regarding the mechanism of injury/illness and discuss appropriate treatment pathways, obtaining UDS and BAT when applicable, and workplace accommodation availability.
Inform client/injured worker of name/location and contact information of medical facility available.
Notify appropriate contacts via email of injury/illness details with initial information within one hour of notification, unless an extreme situation.
Provide updates of diagnosis, work status, plan of care and follow up appointments to appropriate personnel with injured worker’s employer and adjuster.
Provide updates, diagnosis, clinic notes and treatment authorization requests to designated representative for client and Worker’s Compensation insurance adjuster.
Log injury/illness details on spreadsheet; Client specific
Enter injured worker, adjuster name and claim number into Billing Portal to apply billing time and status of case as it occurs
Bill time for each case according to services rendered.
Field Case Management services for client/injured worker needing onsite Case Management services at the time of visit. This includes communicating directly with the provider and obtaining pertinent paperwork at the visit.
Generating letters to providers, for clarification of work-relatedness and or treatment plan.
Obtaining and reviewing Medical records and diagnostics with relation to present injury/illness, prior history and/or forwarding to Specialty providers when allocated.
Proper documentation of phone calls made and received, interpretation of medical records from each exam, work status, and all emails transpired with regard to each case.
Coordinate SMO’s with specialists as needed.
Coordinate FCE’s to determine job capabilities.
Rotate Call to ensure 24/7/365 CM services; perform duties as stated above for calls received.
Transfer phone lines every morning and evening for phone coverage 24 hrs a day
Assist Upper Management in CM activities as requested.
Answer phones in a professional manner when receptionist is not available.
Attend and participate in staff meetings.
Assists in office related tasks as needed.
Participate in opportunities for learning and skill maintenance/development, including internal and external training and workshops.
Other duties assigned by the supervisors.
Education
High School Diploma or GED required and completion of a vocational program leading to a nursing license.
Licensures/Certification
Must possess and retain a valid RN license for the state of LA (or compact multistate license).
Obtain a CWCP certification within two (2) years of employment.
Experience
Minimum two (2) years of nursing experience in a clinical setting, or previous occupational health experience.
ER, ICU or PACU experience preferred.
Schedule
Monday - Friday 8:30 a.m. – 5:00 p.m., CST. This position is remote but may require in-office training as necessary. Some at-home, on-call work on a rotating basis is also required.
Training
Training for this position will be held primarily remotely, but may require in-office training at our corporate office depending on demands of training.
IMPORTANT NOTICE: PLEASE ATTACH ALL LICENSURES, CERTIFICATIONS, EDUCATION, AND DOCUMENTATION TO THE UPLOAD PORTION OF THE APPLICATION
CORE, CHN, and our subsidiaries are Equal Opportunity Employers. EOE/ADAAA/AA
Accessibility: If you need an accommodation as part of the employment process please contact Human Resources at Phone: Email:
Equal Opportunity Employer, including individuals with disabilities and veterans.
If you want to view the Know Your Rights: Workplace Discrimination is Illegal poster, please choose your language: English – Spanish. English – Spanish
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Worksite address
baton rouge, LA, 70801, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.