Medical Field Case Manager

Genex Service LLC

Medical Field Case Manager

US-MI-Grand Rapids

Job ID : 23-15360

Type : Regular Full-Time

of Openings : 1

Category : Case Management

Mitchell International, Inc.

Overview

The Enlyte Family of Businesses

Mitchell Genex Coventry

Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve.

Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth.

Responsibilities

This is a full-time, work-from-home position. The candidate must be located in the Grand Rapids, Michigan area due to regular local travel for in-person patient appointments.

Compensation : Competitive salary plus potential for monthly bonuses.

Perks : Full and comprehensive benefits program, 24 days of paid vacation / holidays in your first year plus sick days, home office equipment including laptop and desktop monitor, mileage and travel reimbursement, Employee Assistance and Referral Program, and hands-on workers' compensation case management training.

Join our compassionate team and help make a positive difference in an injured person's life. As a Field Case Manager, you will work closely with treating physicians / providers, employers, customers, legal representatives, and the injured / disabled person to create and implement a treatment plan that returns the injured / disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning.

In this role, you will :

• Demonstrate knowledge, skills, and competency in the application of case management standards of practice.
• Use advanced knowledge of types of injury, medications, comorbidities, treatment options, treatment alternatives, and knowledge of job duties to advise on a treatment plan.
• Interview disabled persons to assess overall recovery, including whether injuries or conditions are occupational or non-occupational.
• Collaborate with treating physicians / providers and utilize available resources to help create and implement treatment plans tailored to an individual patient.
• Work with employers and physicians to modify job duties where practical to facilitate early return to work.
• Evaluate and modify case goals based on injured / disabled person's improvement and treatment effectiveness.
• Independently manage workload, including prioritizing cases and deciding how best to manage cases effectively.
• Complete other duties, such as attend injured worker's appointments when appropriate, prepare status updates for submittal to customers, and other duties as assigned.

Qualifications

• Education : Active Registered Nurse (RN) license required. Must be in good standing.
• Experience : 2+ years clinical practice preferred. Workers compensation-related experience preferred.
• Skills : Ability to advocate recommendations effectively with physicians / providers, employers, and customers. Ability to work independently.

Knowledge of basic computer skills including Excel, Word, and Outlook Email. Proficient grammar, sentence structure, and written communication skills.

Must be able to speak Spanish fluently.

• Certifications, Licenses, Registrations : Active RN license required. Must be in good standing.Valid driver's license and auto insurance required.
• Travel : Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography.
• Internet : Must have reliable internet.

Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers' Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager

Please see job description

PI212919314