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| Employer Name: InsurCrossing |
SpiderID: 2308231 |
| Location: Philadelphia, Pennsylvania |
Date Posted: 6/23/2008 |
| Wage: |
Category: Insurance |
| Job Code: |
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Job Description:
Recommends use of pre-determined PPO providers when appropriate. Seeks out alternative providers, as warranted;-Alerts adjuster to proposed medical care and possible alternative procedures. As directed by the adjuster, discuss alternatives with the treating physician;-Makes recommendation for the need for on site case management services based on severity and longevity of case.-Develops action plan for early return to work (RTW). Such a plan must consider not only full duty RTW, but also modified and light duty. Confers with employer, employee, doctor, and adjuster to execute the plan, and/or determine necessary modifications;-Updates the employer on work status of employee and verifies status of RTW possibilities. Updates employee of RTW options;-Thirty day follow up with injured employee and employer to ensure smooth return to work; IV. Assists Claims Department with identifying physicians to treat injured employees, Impartial Medical Examiners, and establishing or adding to Preferred Provider Organization. Establish a list of preferred physicians, OT/PT with addresses and telephone numbers.Required Knowledge & Skills:-Bachelor of Science in nursing preferred. Registered nurse certification will also be accepted. -CCM certification (Certified Case Manager) or eligibility required. -CDMS (Certified Disability Management Specialist) and/or CRRN (Certified Rehabilitation Registered Nurse) may be considered, depending upon experience, training, and knowledge. -Minimum of two years experience in the medical management field required.-Excellent communication skills mandatory; this position will involve continuous personal, telephone, and written contact, and appropriate interpersonal skills are critical
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Job Criteria:
Start Date:
Position Type: Full-Time Permanent
Years of Experience Required:
Education Required:
Overnight Travel:
Vacation Time:
Contact Information:
| Contact Name: - |
Company Type: Employer |
| Company: InsurCrossing |
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| City: Pasadena |
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| State: California |
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| Zip: |
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Web Site: http://www.insurcrossing.com
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