Rising Medical Solutions

Nurse Case Manager

Rising Medical Solutions

full-time

Posted on:

Location Type: Remote

Location: United States

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About the role

  • Establish collaborative relationships and act as an intermediary between clients, patients, employers, providers, and attorneys
  • Assess, coordinate, implement, monitor, and evaluate the plan to meet the injured/disabled individual’s needs, utilizing the knowledge of medical necessity, care appropriateness, and managed care principles
  • Promote quality, cost-effective care throughout the health continuum to ensure the injured/disabled individual is able to return to an optimal level of work and functioning and documenting case savings
  • Document ongoing progress of all case management activity, including the organized maintenance of files containing clinical documentation of interactions with all parties of every claim
  • Assess injury severity, extent of disability, treatment plans, functional abilities, and physical job requirements to establish return to work plans and strategies to manage future medical exposure

Requirements

  • An RN License preferably in a compact state AND with an IL license
  • California RN license a plus
  • Full Time – 9:00am CST to 5:30pm CST, with the ability to flex time based on the jurisdiction
  • Strong computer skills required – Microsoft Suite (Outlook, Excel, Word, etc.)
  • At lest 3 years of TCM experience preferred
  • Experience with Workers’ Compensation or Disability Management
  • The ability to maintain confidentiality of all information, policies, and procedures
  • The ability to set priorities and work both autonomously and as part of a team
  • Demonstrated sensitivity to culturally diverse people and situations
  • Well-developed time management, organization, and prioritization skills
  • Knowledge of utilization management, case management, and healthcare provided throughout the health continuum
  • Excellent oral and written communication skills with a heavy focus on customer-service
  • The ability to gather data, compile information, and prepare summary reports
  • Strong interpersonal and conflict resolution skills
  • Experience in a fast-paced, multi-faceted environment
  • Demonstrated persistence and attention to detail
  • The ability to stay calm during stressful situations
  • Having your BSN, CCM, and/or any other insurance/workers’ compensation certifications is a huge plus!
  • Associate degree
Benefits
  • Competitive base salary, profit sharing, 401k matching, generous time off, and career growth opportunities
  • A relaxed, yet upbeat, work environment
  • Rising was named a Top Workplace in the healthcare industry for 2023! Check out our profile here: Rising Medical Solutions, Inc Profile (topworkplaces.com)
  • We're on YouTube! Check out our culture at: http://www.youtube.com/user/RisingMedical
  • Want to see more? Check out our:
  • Facebook: https://www.facebook.com/RisingMedicalSolutions
  • LinkedIn: http://www.linkedin.com/company/rising-medical-sol...
  • Glassdoor: http://www.glassdoor.com/Overview/Working-at-Rising-Medical-Solutions- EI_IE322608.11,35.htm pages
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
RN LicenseTCM experienceWorkers’ Compensation experienceDisability Management experienceutilization managementcase managementclinical documentationdata gatheringsummary report preparationMicrosoft Suite
Soft Skills
interpersonal skillsconflict resolution skillstime managementorganization skillsprioritization skillscustomer servicesensitivity to cultural diversityautonomyteamworkattention to detail
Certifications
BSNCCMinsurance certificationsworkers’ compensation certifications