Prefer candidates with 3 or more years of related experience. Be knowledgeable of return to work best practices, ergonomics, work place accommodations, skill building/resume development, FMLA, Transferable Skill Assessments, and related Human Resources topics required.
Administering all provider resources through the care continuum. Developing interventions and processes to assist the Health Plan member in meeting short and long term plan of care goals. Applicants must meet the following qualifications:
Coordinating member visits with providers and specialists as needed. Administering all provider resources through the care continuum. Must meet the following requirements for consideration: Traveling to member homes & provider facilities. Knowledge of Federal and State assistance programs.
Provide a complete continuum of quality care through close communication with members. Support members with condition education, medication reviews and connections to resources. Qualifications Include: 25-50% travel. Current, unrestricted RN license. Access to reliable transportation.
Researching and recommending resources to create flexible, cost-effective treatment options. Attending appropriate appointments and provides evaluation of patient's progress. Qualifications for this position include: Reliable transportation and local travel required.
Must be able to: Research and recommend resources and creates flexible, cost-effective options for catastrophically or chronically ill or injured individuals. Assess and coordinate medical care related to workers compensation injuries.
Advocating for the member/patient and family among various sites to coordinate resource utilization. Encouraging client/member/patient participation and compliance in the clinical program efforts. Required Skills: Travel or on call work specific to the care management program.
A bachelor’s degree in a health or human services field or Registered Nurse (RN) with 1 year experience. Ability to document within care management system; knowledge of Microsoft Word and Excel. Valid Virginia driver’s license, safe driving record, and dependable transportation.
3+ years of case and/or utilization management experience. Experience in psychiatric and medical health care settings. Working knowledge of utilization review procedures. Familiarity with mental health community resources. Unrestricted license as a LIMHP, LCSW, LMFT, LPC, PhD, PsyD or RN.
Skills and Requirements Include: Master's Degree in Social Work. 1-3 years of experience. Understanding of plan benefit structures, psychiatric/medical terminology and local communication resources. Must meet the employer's certification and licensing requirements.