Field Nurse Case Manager - San Jose, CA - Hybrid REMOTE

Description

This is a great, flexible opportunity for seasoned or new Nurse Case Managers!

EK Health is looking for a Field Nurse Case Manager in the greater San Jose, CA area. This is a remote role with some travel required. Highlights include:

• No Shift work
• No weekends or holidays
• Flexible hours during normal weekday schedule
• Remote position (with some travel required)
• Excellent orientation and mentoring program
• Woman and minority owned business
• Opportunities for career advancement
• Caring, family environment

Case Management is a collaborative process to promote quality cost effective outcomes, which enhance the physical, psycho-social, and vocational health of individuals. This includes assessing, planning, implementing, coordinating, and evaluation of service options. A Case Manager provides technical knowledge and experience to the field of medical case management and strives to eliminate costly mistakes. The goal of a Case Manager is to assist the injured worker in receiving appropriate, cost effective medical care for their injury in a timely manner, and to expedite their return to work.

Position Logistics: Full-Time, Non-Exempt status, work from home with regular local travel

In addition to salary and benefits, we also offer our Field Nurse Case Managers: paid travel time, mileage reimbursement, company phone and internet cost reimbursement.

Responsibilities include (but are not limited to):

• Completing in person visits at medical providers, which may include hospitals, physician offices, therapy providers, rehabilitation facilities or other providers as needed
• Completing in person visits with employers as warranted and requested
• Completing in person visits and/ or evaluations at injured employee’s homes as requested and warranted for the details of the case
• Completing referrals within computer database from either injury report or information gathered from the web-based system
• Performs 3-point contact on new files
• Reviewing and evaluating all medical correspondence, provider reports, & treatment plan history
• Providing necessary updates to all parties
• Evaluating clinical status of claimant and research for alternative options to treatment as warranted
• Communicating with the claim’s examiners regarding directives, and provides updates on file status
• Arranging transportation services when necessary and authorized
• Evaluating therapy facilities and their progress on specific cases
• Preparing comprehensive notes following any discussions had with IW, medical providers, claims examiners, and employers in the case file
• Perform a complete nursing evaluation to determine needs of patient
• Discuss the analyzed data and the comprehensive plan of care with the insurance representative prior to implementation
• Upon authorization, implement this plan of care with patient, physician and health care providers
• Arrange for care/services as needed (home care, procedures, medication, equipment or supplies)
• Monitor the plan of care with modifications or changes suggested to the patient and physician as the need arises
• Coordinate information between all parties (injured worker, physicians, employer, other providers, such as therapists, and attorney, if any is involved)
• Determine the progress and the effectiveness of the care
• Prepare a monthly report of the patient’s progress and specific cost savings
• Evaluating clinical files ongoing and ensuring care is medically necessary
• Identifying cases that are not utilizing the MPN or PPO network providers, and appropriately redirects IW to the network providers, as applicable.

This position starts at $38-$45 per hour based on experience and location. We can offer additional compensation if you have one or more of the following certifications: CCM, COHN, COHN-S, CRRN.

We have FANTASTIC employee benefits: Medical, Dental & Vision Insurance, 401K, PTO and up to 7 paid holidays.

Requirements

• Graduate of an accredited school of nursing
• Valid state-appropriate RN license in good standing with no restrictions
• May be required to obtain additional state RN licenses
• Valid state-appropriate Driver’s license in good standing
• Possesses and can demonstrate the professional and technical skills of a Registered Nurse
• Experience in Field Case Management, Workers' Compensation experience highly preferred, but not required
• Certified Case Manager (CCM), Certified Occupational Health Nurse (COHN or COHN-S) or Certified Rehabilitation Registered Nurse (CRRN) highly preferred, but not required.
• Experience in Home Health Care, Occupational Health considered a plus
• Excellent Written and Oral Communication Skills
• Excellent Interpersonal Skills
• Strong Organization Skills
• High comfort level with computers and computer programs (MS Word, MS Excel, Email)
• Ability to work independently with minimal supervision
• Ability to meet deadlines in a high pressure, time sensitive environment
• Ability to lift up to 20 lbs
• Ability to walk up to a mile without assistance
• Reliable transportation to attend in person appointments and visits

Physical Requirements:

Candidate must be able to sit the majority of an 8-hour day except for lunch and break times. Candidate must be able to keyboard the majority of an 8-hour day except for lunch and break times. Candidate must have manual dexterity. Candidate must be able to speak on the telephone intermittently throughout the day. Candidate must be able to read and write English fluently. Candidate must be able to provide and confirm safe home office environment. Home office must be HIPAA compliant.

*Requires DSL, fiber, or cable internet connection from home 10 mbps preferred or better *

Salary : $38 - $45