Provides medical case management services to persons whom were injured on the job. The nurse will use medical expertise combined with knowledge of the workers' compensation system to make sure that injured workers receive timely and appropriate medical treatment to promote early return to work and claims resolution. The nurse will facilitate communication and action among employers, insurance carriers, physicians, treatment teams and injured workers.
Essential duties include but are not limited to: accepts new/transferred case assignments, set up files, performs initial assessment, and reviews past and present clinical information from treating physician. Formulates plan of action for the rehabilitative process, utilizing accepted guidelines for specific injuries. Communicates in writing and by phone with claims examiner and employer, providing anticipated and actual disability status and communicates ability to return to pre-injury occupations. Encourages and initiates dialogue between the injured person, physician, employer and claims examiner. Travels locally to attend physician visits with injured persons to provide opportunities for collaboration and coordination of services, treatment plans, dialogues with the physician to facilitate appropriate medical treatment, and provide authorizations to implement services as authorized. Maintains confidentiality of injured worker's medical, disability, and demographic information. Prepares and submits professionally typed initial/progress/closure case management reports and billing sheets.
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.
Associate's degree (A. A.) or equivalent from two-year College or better. Six months to one year related experience and/or training preferred.
Ability to read, analyze, and interpret general business communication. Ability to write/type reports and business correspondence. Ability to effectively communicate, present information and respond to questions from employers, carriers, clients and the medical team.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Knowledge and experience with internet software and Microsoft Office products (WORD, EXCEL & OUTLOOK) software. Ability to type 40 WPM.
Current California Registered Nursing License; Current Driver's License and insured automobile.
- A working knowledge of the Workers' Compensation System
- Strong clinical background
- Enjoys working with a diverse group of people
- Ability to type 40 wpm with strong computer skills
- Available to drive locally (within a 60-70 mile radius)
- Experience and ability to provide professionally typed reports
- English, grammatical and critical thinking skills
- Prefer working from a "home base"
- Possesses excellent time management and organizational skills
- Enjoys administrative work
- Works well independently with little supervision
- Possesses strong communication skills both oral and written
- Prefers a semi- flexible schedule and work environment
- Excellent work ethics with strong moral character
- Adapts easily to schedule changes
- Enjoys weekends and holidays off!
We offer our full time employees competitive salaries and benefits (medical, dental, vision, vacation, sick and retirement plans). In addition our full time nursing staff enjoys a generous bonus program that rewards those that are motivated, organized and skilled.
"I enjoy working for Choices because of the incredible support that is provided for learning and recognition of need to balance work and family. Choices positive image in the industry also makes interactions with clients positive and productive".
"I like working for a company that is in a growth state. I like to feel I am part of a group and not just one of many... I love working from home and having the freedom to be creative with my own life and schedule... I no longer have to feel that I am choosing my job over my family or not being there to take care of the most important things in life."
"I like the variety of diagnoses that are encountered so that I can continue to be challenged. I also enjoy the independence in my work environment while also knowing that help is only a phone call away."
"I find it rewarding to develop relationships with injured workers, physicians, examiners and employers so that I know that I helped to facilitate the best outcomes for all involved."
"I get great satisfaction knowing that I had an influence in making things right."
If this sounds like the kind of company and career you would be interested in being a part of, send your resume with cover letter and references to info@choicescm.com or fax to 925-516-3905.
* Willing to consider training the right candidate with exceptional skills.
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