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Medical Case Manager


Knoxville, Tennessee


Medical Case Manager Job Opening in Knoxville, Tennessee - PART-TIME OPPORTUNITIES AVAILABLE IN MEMPHIS AND KNOXVILLE, TN
ExamWorks Clinical Solutions is searching for a Registered Nurse Case Managers. Registered Nurses are a key component in the healthcare industry and here at ExamWorks we understand the many tireless hours, overnights, and weekends you have put in providing compassionate care throughout your career. Here?s an opportunity to take off those scrubs and take back your life style. Goodbye working weekends and holidays. It?s time to say hello to family time, work-life balance, and relaxation. As an RN with us, you will trade the chaotic clinical setting for setting your own hours and a virtual environment. Sounds too good to be true, but it isn?t!
Let?s get down to what you can expect in your new RN Case manager position. Our RN Case Manager?s accept assignments from an employer, insurance company, or other responsible party regarding an injured or disabled individual. Once we have that information, you will begin to assess the information provided to determine the individual's specific health care needs in order to facilitate a timely return to work. Sounds easy enough. As a RN Case Manager, your responsibility is to ensure that the patient is receiving quality care that is appropriate and necessary. In doing so, you will anticipate the patient's future health care needs and aid in ensuring the proper mechanisms are put in place to meet maximum rehabilitation in the most efficient and cost effective way possible. You will also develop and present treatment plans and secure provider acceptance to the plan.
EDUCATION AND/OR EXPERIENCE
Associates Degree or Diploma in nursing is acceptable; a bachelor?s degree in nursing and/or health related field preferred and current, active, and unrestricted licensure as a health professional (RN). TN provider Number required
5 years case manager experience preferred.
QUALIFICATIONS
Minimum 2 years clinical nursing background.
Knowledge of the disability and workers' compensation industry including rules and regulations and an understanding of clinical procedures and all processes involved in the delivery of quality health care to an injured worker.
Practice case management within the scope of his/her licensure (based on the standards of the discipline).
Must be able to adequately operate a general computer, fax, copier, scanner, and telephone.
Must have strong knowledge of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.
Knowledge of current laws and regulations that govern delivery of rehabilitation services.
Knowledge of human behavior and performance.
Ability to demonstrate strong customer service knowledge including needs assessment, meeting quality standards for services and evaluation of customer satisfaction.
Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.
Must be able to work independently, prioritize work activities and use time efficiently.
If you're interested in learning more about this opportunity, Click the below Link to Apply!
ExamWorks Clinical Solutions (ECS) is the premier provider of case management, pharmaceutical and complex claims management services within the insurance industry. As the market leader for Medicare Set-Asides (MSA) and MMSEA Section 111 Mandatory Insurer Reporting, ECS offers a comprehensive suite of services for Medicare Secondary Payer (MSP) compliance services.
Job Type: Part-time
Required education:
Associate
Required experience:
manager: 5 years

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