Manager

• Assess, plan, coordinate, monitor, evaluate and implement options and services to facilitate timely medical care and return to work outcomes of injured workers.
• Coordinate and implement medical case management to facilitate case closure.
• Timely and comprehensive communication with employers, adjusters and the injured workers.
• Assess appropriate utilization of medical treatment and services available through contact with physicians and other specialist to ensure cost effective quality care.
• Review and analyze medical records and assess data to ensure appropriate case management process occurs while providing recommendations to achieve case progress and movement to closure.
• Responsible for assigned caseloads, which may vary in numbers, territory and/or by state jurisdiction.
• Acquire and maintain nursing licensure for all jurisdictions as business needs require.
• Coordinate services to include home services, durable medical equipment, IMEs, admissions, discharges, and vocational services when appropriate and evaluate cost effectiveness and quality of services.
• Document activities and case progress using appropriate methods and tools following best practices for quality improvement.
• Reviewing job analysis/job description with all providers to coordinate and implement disability case management.

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