This position is responsible for providing case management services for employees that have have been injured at work. The goal is to promote quality, cost-effective outcomes while assisting individuals with reaching pre-injury levels of functioning and/or maximum medical improvement. Duties will include coordinating medical care, establishing return to work plans, and providing counseling.
In this role, the selected candidate must have § electronic Charting to maintain accurate patient records including care plan, progress notes, Oasis Assessment, medications given, vital signs and treatments administered.
Performs utilization and case management for Health Plan members. Responsibilities include utilization management and review of pre-authorization requests and inpatient admissions to determine the appropriateness of the identified services.
The Case Manager works with insurance carriers, medical care providers, attorneys, employers and employees, and closely monitors the progress of the injured worker and reports results back to the employer and insurance carrier.