This individual is responsible for the medical case management of work related injuries which includes assessment, planning, coordination, implementation and evaluation of. Injured/disabled individuals.
In this role, the selected candidate will perform duties related to the day-to-day operations of the High Risk Case Management functions to include working with members identified as high risk to identify needs and goals to achieve empowerment and improved quality of life.
In this role, you will actively case manages all transtar occupational and non-occupational injuries as well as the associated salary continuance, wage continuance, sickness and accident, or supplemental disability claims.
In this role, you will establish a collaborative relationship with the client (plan participant), family, physician(s), and other providers to determine medical history and current status to assess the appropriate level of care and options for alternative care.
In this role, you will work telephonically and in the field with patients identified as high risk to identify needs, set goals and implement action steps towards achieving goals. Empower patients to help them improve their quality of life.
In this role, you will assess the healthcare, educational and psychosocial needs of the member/family. Designs an individualized plan of care with the member and fosters a team approach by working collaboratively with the member, family, primary care provider, and other members of the health care team to ensure coordination of services.
In this role, you will perform duties to conduct and manage the day-to-day operations of the case management functions communicating with departmental and plan administrative staff to facilitate daily department functions.
In this role, you will educate your patients on how to do their own dialysis from their homes, and you take responsibility for the complete ongoing care of each patient to ensure their treatment stays on track.
The Case Manager possesses strong clinical skills and a knowledge base in a specialized area, and utilizes leadership skills in coordinating and/or providing home care services for a group of patients within that specialty area.