Birmingham, Alabama
Workers Compensation Field Case Manager Job Opening in Birmingham, Alabama - Do you have excellent clinical skills and a commitment to customer service? We offer an exciting opportunity to use your skills in a purpose-focused and rewarding environment.
ExamWorks has an outstanding career opportunity for a Case Manager to join our organization. We are seeking an experienced Field Case Manager. The Field Case Manager accepts assignments from an employer, insurance company, or other responsible party regarding an injured or disabled individual and assesses the information provided to determine the individual's specific health care needs in order to facilitate a timely return to work. The Field Case Manager is responsible to ensure the patient is receiving quality care that is appropriate and necessary and anticipates the patient's future health care needs and aids in ensuring the proper mechanisms are put in place to meet maximum rehabilitation in the most efficient and cost effective way possible. The Field Case Manager develops and presents treatment plans covering the above stated goals and secures provider acceptance to the plan. Acting as a liaison between the patient, family, employer, provider(s), insurance companies and/or healthcare personnel the field case manager communicates all activity through written reports and verbal updates to the referring party and responsible for timely service delivery and quality reporting in compliance with URAC Standards and represent ExamWorks Clinical Solutions in a professional and customer oriented manner.
QUALIFICATIONS
Assesses and analyzes injured worker's medical and/or vocational status and develops a viable, realistic action plan for maximum medical improvement from date of referral to closure.
Meets with individuals in their homes, work-sites, physician's or therapist's office to provide ongoing case management services.
Assesses the assigned individual to ensure appropriate safety measures are in place.
Implement, calculate and document cost savings measures.
Manages progress towards desired outcomes.
Responsible to maintain regular communication with the injured worker, medical providers, attorneys, employers, claims professionals, and ECS management.
Develops guidelines for working with patients, healthcare management companies, insurance companies or other third party payers to determine quality, cost-effective care.
Apply all special service instructions required by customers/accounts.
Appropriately applies all laws and regulations to the provision of rehabilitation services.
As needed, testify to substantiate any casework or reports that may be deemed relevant in litigated cases.
If you are interested, please apply on our website at .
Job Type: Full-time
Required experience:
Case Management: 5 years
Workers Compensation: 1 year
Required license or certification:
Registered Nurse
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