Complex Case Management RN - Workers Comp

Location: Long Beach, CA
Date Posted: 03-11-2019
Complex Case Management Nurse (RN) - Workers' Compensation
Long Beach, CA (Mix of Telecommute and Field)
* Offers variable mix of Telephonic & Field/Travel Case Management - mileage reimbursed! *
** Partial Remote position!  Work From Home when not in the Field! **

Workers' Compensation Case Manager Job Summary:
  • Processes Catastrophic Cases (Brain injury, spinal cord injury, extreme trauma, etc) utilizing using the outcome management model and tools 
  • Obtains written authorization for case management services as well as release of information
  • Assesses the client/family to identify their strengths and resources; problems; psycho-social, financial, and medical history; current status; diagnosis; prognosis; functional status; goals; current treatment plan; and needs
  • Develops a plan of care with through interdisciplinary collaboration, which identifies realistic short- and long-term goals
  • Identifies, secures, and coordinates the services and resources to implement the plan
  • Monitors services being provided for continued appropriateness and reports to TPAs and insurance carrier
  • Provides instruction to the client and family regarding the injury/disease process, treatment options, and present care
  • Promotes the client’s/family’s self-advocacy skills to achieve maximum self-sufficiency
  • Has knowledge of the benefit package as well as all available funding sources and systems of care and coordinates with the payer for authorization of payment
  • Provides for in-depth reporting of outcomes encompassing clinical, functional, financial, and satisfaction areas
  • Demonstrates effective, accurate, and timely verbal and written communication in all work situations
  • Identifies and discloses all situations which might result in exposure to legal liability and/or are indicative of poor quality care negatively affecting the client
  • Frequently requires travel to patient appointments.
Workers' Compensation Case Manager Background:
  • Valid, unrestricted state Registered Nurse (R.N.) license.
  • Bachelor of Science in Nursing (BSN) and/or Certification in Case Management (CCM) is preferred.
  • Around 2-3 years acute care clinical nursing experience.
  • Requires 4 years experience with care coordination/case management in a variety of settings, preferably including complex or catastrophic cases.
  • At least 2 years of Case Management experience is required in a Workers Compensation, Disability, or Occupational Health setting.
  • Basic computer literacy (MS Office) and typing skills are necessary.
  • Partial Field Role:  Must be willing and able to travel in designated areas

410.885.4745 (CALL – TEXT – FAX)

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