Worksite - Onsite Nurse Case Manager (Goodyear)
Location: Fayetteville North Carolina
Description: Concentra Inc. is hiring Worksite - Onsite Nurse Case Manager (Goodyear) right now, this occupation will be placed in North Carolina. Detailed specification about this occupation opportunity kindly read the description below. JOB SUMMARY Assesses the medical components of injured workers situation including, but not limited to, prior authorization, determination of appropriate level of care, utilization of services, concurrent review, retrospective review, development of discharge plans, assurance of quality and cost effectiveness. Acts as a liaison among patient/family, employer, insurance company, and healthcare personnel to ensure necessary care is provided promptly and effectively to restore injured workers function, capacity and self-esteem.
MAJOR DUTIES AND RESPONSIBILITIES:
Assesses and analyzes injured workers medical status and develops a viable, realistic service plan. May meet with clients in their homes, work-site or physicians 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. May arrange referrals, consultations, therapeutic services, and confers with other specialists on course of care and treatment. Attends staff meetings May participate in sales activities. Performs other duties as assigned.
Required Skills
Required Experience
EDUCATION/CREDENTIALS:
Licensed RN in accordance with state laws of jurisdiction Obtaining and maintaining CCM, CDMS or CRRN designations are encouraged; these designations are required where dictated by state regulations.
JOB-RELEVENT EXPERIENCE:
12 months workers compensation case management and/or occupational health nurse experience
JOB-RELATED SKILLS/COMPETENCIES:
Knowledge of laws and regulations that govern delivery of rehabilitation services and occupational health nursing Knowledge of workers compensation and disability case management industry Knowledge of human behavior and performance Customer and personal service knowledge including needs assessment, meeting quality standards for services and evaluation of customer satisfaction Education and training Reading comprehension Judgment and decision making Critical thinking Active listening Speaking to effectively convey information to supervisors, peers, and customers Instructing skills to teach others Use of scientific rules and methods to solve problems Writing Problem sensitivity Manual dexterity Deductive reasoning Social perceptiveness Service orientation Documenting and recording information Reliable transportation and current drivers license Ability to meet deadlines Computer literate Thoroughly developed time management and organizational skills. Ability to work without direct supervision
WORKING CONDITIONS:
Clinic environment
Concentra's Data Protection Commitment
Concentra is committed to protect patient data and to ensure privacy of personal and medical information.
Every Concentra colleague has the responsibility to adhere to data protection principles.
If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information.
IND 1
- .
If you were eligible to this occupation, please email us your resume, with salary requirements and a resume to Concentra Inc..
If you interested on this occupation just click on the Apply button, you will be redirected to the official website
This occupation starts available on: Thu, 05 Jul 2012 08:20:19 GMT