Network ESC A Division of Network Temps, Inc.

Manager

• Conduct comprehensive clinical assessments using telephonic interviews, medical records, and data from multiple sources, addressing complex conditions including co-morbidities and biopsychosocial factors
• Develop and implement individualized case management strategies to support medical stability and timely return to work
• Identify complex cases requiring additional coordination and collaborate with internal and external stakeholders to evaluate injury, causation, and work capacity
• Apply clinical guidelines, company policies, and regulatory requirements to ensure compliant and appropriate case management decisions
• Utilize a holistic approach to focus on medical care and functional recovery, promoting efficient treatment and return-to-work outcomes
• Partner with supervisors and cross-functional teams to address barriers, resolve issues, and support overall claim performance through meetings and case reviews

Nurse Case Manager

Medical Billing and Coding

• Medical coding in an acute care setting; must possess proficient computer skills (e.g., MS Word, Excel, ICD 9 CM, CPT 4, Encoder);
• Knowledge of coding guidelines, payor guidelines, federal billing guidelines;
• Knowledge of anatomy, physiology & disease processes;
• Ability to research coding related issues;
• Competence in coder training;
• Must have CCS and knowledgeable with 3M/HDS coding application.
• Inpatient and ED experience.

Nurse Case Manager

Certified Medical Coder