Telephonic Case Manager I - PT
Location: Baltimore Maryland
Description: Broadspire is currently seeking to employ Telephonic Case Manager I - PT right now, this vacancy will be placed in Maryland. More complete informations about this vacancy opportunity kindly see the descriptions. Coordinates and medically manages a range of health care services to designated clients through telephonic communication with patients, employers, providers, adjusters, and othe! rs to determine if treatment is medically necessary, appropriate, and effective, and to secure a timely return to work status for the patient.
Responsibilities:
Communicates effectively with providers, patients, Peer Physicians, case managers and others involved in the Case management process as needed.
Collaborates effectively to promote the integration of all Departments and products through interdepartmental referrals and communication.
Plans and organizes individual caseload to meet URAC, jurisdictional and Best Practice Standards for timeliness, notification and documentation requirements.
Utilizes appropriate desktop resources to perform the case management process, this includes but is not limited to the Presley Reed Medical Disability Advisor (MDA), ACOEM, Jurisdictional Database, National Account Bulletin, PPN Network Database, Screen Scrape tool.
Analyzes medical information and applies evidenced based establ! ished guidelines to facilitate the case management process.
Documents pertinent information in the case file notes to support case management interventions and case resolution.
Researches, reviews and prepares medical information to present and collaborate objectively with Peer Physicians in order to facilitate case resolution.
Promotes excellence of the case management product by participation in the QA process and through active participation in the Department’s process improvement efforts.
Independently approaches problem resolution by appropriate use of research and resources.
Precept new staff within the department as requested.
Demonstrates excellent customer service, and respect for customers, co-workers, and management.
Perform other duties as assigned.
Requirements:
RN state licensure in good standing with the State Board of Nursing
Three (3) years hospital/clinical experience in Orthopedics, Neurology or Occupational Health
Previous ! Workers Compensation Case Management experience
Preferred:
Bachelor's Degree in Nursing (BSN)
CCM, CDMS, COHN OR CRRN certification
Bilingual Spanish a plus but not required
In addition to a competitive salary, Crawford offers you: Career advancement potential locally, nationally and internationally. Crawford & Company has more than 700 locations in 70 countries On-going training opportunities through every stage of your career Strong benefits package including: matching 401k; health, dental, and life insurance; employee stock purchase plans; tuition reimbursement and so much more.
Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V
Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written! Statement of Work in place for this position from Crawford HR/Recruitm! ent will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.
Talent
Search for Req 12051
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If you were eligible to this vacancy, please email us your resume, with salary requirements and a resume to Broadspire.
If you interested on this vacancy just click on the Apply button, you will be redirected to the official website
This vacancy starts available on: Tue, 17 Sep 2013 02:37:17 GMT