ABOUT THE ROLE:
ExamWorks Clinical Solutions is searching for a Workers' Compensation Case Manager (RN Required). Registered Nurses are a key component in the healthcare industry. We understand that you have put in many tireless hours, overnights, and weekends providing compassionate care. Here is your opportunity to take off those scrubs and take back your life style. Goodbye working weekends, goodbye working holidays. It sounds too good to be true, but it isn’t!
Let’s get down to what you can expect in your new RN position. Our Workers' Compensation Case Manager’s accept assignments from an employer, insurance company, or other responsible party regarding an injured or disabled individual. Once we have that information, you will begin to assess the information provided to determine the individual's specific health care needs in order to facilitate a timely return to work. Sounds easy enough. As a Workers' Compensation Case Manager (RN), your responsibility is to ensure that the patient is receiving quality care that is appropriate and necessary. In doing so, you will anticipate the patient's future health care needs and aid in ensuring the proper mechanisms are put in place to meet maximum rehabilitation in the most efficient and cost effective way possible. You will also develop and present treatment plans and secure provider acceptance to the plan.
ExamWorks Clinical Solutions (ECS) is the premier provider of case management, pharmaceutical and complex claims management services within the insurance industry. As the market leader for Medicare Set-Asides (MSA) and MMSEA Section 111 Mandatory Insurer Reporting, ECS offers a comprehensive suite of services for Medicare Secondary Payer (MSP) compliance services.
ECS is dedicated to the national presence required to serve its clients and continues to forge relationships at the local office level, where clients receive exceptional service from experienced sales professionals. ECS has created a unique integrated offering of services aimed at managing complex Medicare, medical and pharmaceutical claims. Our client base includes the majority of major insurance carriers, TPAs and numerous Fortune 100 and 500 employers.
We simplify medical cost containment while upholding the professional and fiscal integrity of clinical and Medicare compliance services. Our understanding of the varied needs of the participants is embedded in our customer-focused culture. We work closely with our clients to develop customized service offerings and processes that meet a specific need, corporate requirements and regulations.
ExamWorks Clinical Solutions is accredited by URAC for Case Management.
ESSENTIAL DUTIES AND RESPONSIBILITIES TO PERFORM THIS JOB SUCCESSFULLY INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING:
EDUCATION AND/OR EXPERIENCE