EK Health Services Inc.

Bilingual

• Assessing, planning, implementing, coordinating, and evaluation of service options.
• Communicate with medical providers, employers and injured workers
• Perform a complete nursing evaluation to determine needs of patient
• Review and evaluate all medical correspondence, provider reports, & treatment plan history
• Evaluate clinical status of claimant and research for alternative options to treatment as warranted
• Communicate with the claims examiners regarding directives
• Provide updates on file status
• Arrange transportation services when necessary and authorized
• Evaluating therapy facilities and their progress on specific cases
• Prepare comprehensive notes following any discussions had with injured worker, medical providers, claims examiners, and employers in the case file
• Discuss the analyzed data and the comprehensive plan of care with 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)

Bilingual Telephonic Case Manager – Spanish

Attorney

• Review and summarize medical records, communicating essential highlights and important details efficiently and effectively to appropriate parties
• Determine an injured-party’s long-term medical requirements and estimate costs for that care
• Prepare chronologies or timelines for medical records
• Be objective and honest in evaluating the facts of the case
• Research and cite medical resources/ professional literature related to the case as applicable
• Locate and interview other medical experts to testify
• Professional interaction with EKHS staff, members of the medical community, and all customers of EKHS; both in oral and written forms
• All work is done within the scope of practice for a Registered Nurse
• Other duties as assigned

Bilingual Telephonic Case Manager – Spanish

Legal Nurse Consultant, RN – Contractor