Telephonic Nurse Case Manager

Job Summary

A company in the healthcare industry is looking for a Telephonic Nurse Case Manager.

Position Responsibilities

• Perform 3-point contact on new files and review all medical correspondence and provider reports to determine work status of injured workers or patients
• Communicate with claims examiners regarding directives and provide updates on file status
• Analyze collected data to determine problems, strengths, and needs of the patient and discuss the comprehensive plan of care with the insurance representative prior to implementation

Required Qualifications

• Certified Case Manager (CCM) Certification
• Registered Nurse (RN) licensed in California
• Experience in Critical Care or ER
• Working knowledge of Workers Compensation experience health and welfare
• Two-year experience as a telephonic case manager