Medical Case Manager III
Less than 5 years experience • Misc. Healthcare
Nurse: Case Management
Downers Grove, IL (60516)
Top reasons to love this job – 1. Forbes list of America’s Best Midsized Employers 2. The 3rd largest independent TPA in the industry 3. Competitive benefit package 4. Great work life balance 5. A supportive team and management group who is dedicated to developing and mentoring their staff, preparing career paths and resources for success.
Top "must-have" skills for this job – 1. Three or more year’s workers compensation case management experience or related field 2. MA/ BS / BA in Nursing or Associates Degree in Nursing from accredited school with Equivalent Work Experience and a CCM, CIRS, CRRN, COHN or other related designation or; BA/BS or MA in related field with a CCM, CDMS, or CRC or other related designation or; Current Nursing license and/or certification 3. CCM required based on state guidelines.
Tell me about this job – The Medical Case Manager provides medical and vocational assistance and coordination services to assist injured workers in reaching maximum medical improvement and return to work. The Medical Case Manager facilitates communication between all parties including the injured worker, the adjuster, the employer, treating physician(s) and ancillary providers to assist the injured worker in obtaining prompt and appropriate medical treatment. The Medical Case Manager assesses rehabilitation needs and makes appropriate recommendations. The ultimate goal is for the injured worker to recover and return to work as soon as is medically appropriate. The Medical Case Manager facilitates any temporary or permanent job modifications necessary to allow the injured worker to return to work within the applicable physical restrictions assigned by the doctor. The exact role the Medical Case Manager plays will vary with the injury management model used by each customer.