The Medical Field Case Manager accepts assignments from an employer, insurance company, or other responsible party regarding an injured or disabled individual and assesses the information provided to determine the individual’s specific health care needs in order to facilitate a timely return to work. The Medical Field Case Manager is responsible to ensure the patient is receiving quality care that is appropriate and necessary and anticipates the patient’s future health care needs and aids in ensuring the proper mechanisms are put in place to meet maximum rehabilitation in the most efficient and cost effective way possible. The Medical Field Case Manager develops and presents treatment plans covering the above stated goals and secures provider acceptance to the plan. Acting as a liaison between the patient,family, employer, provider(s), insurance companies and/or healthcare personnel the medical field case manager communicates all activity through written reports and verbal updates to the referring party and is responsible for timely service delivery and quality reporting in compliance with URAC Standards and represents ExamWorks Clinical Solutions in a professional and customer oriented manner.
ESSENTIAL DUTIES AND RESPONSIBILITIES TO PERFORM THIS JOB SUCCESSFULLY INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION AND/OR EXPERIENCE