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RN Telephonic Case Manager Job
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| Employer Name: InsurCrossing |
SpiderID: 2337808 |
| Location: Chicago, Illinois |
Date Posted: 7/3/2008 |
| Wage: |
Category: Insurance |
| Job Code: |
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Job Description:
To perform initial evaluation assessments and evaluate need for alternative treatment; to negotiate claims with providers and employers; and to provide case direction and supervision to field case specialists when on-site intervention is required ensuring quality and appropriate service delivery.ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Performs initial evaluation assessment via telephone calls to client, employer, and physician. Evaluates need for alternative treatment. Negotiates level of care, intensity and disability duration with providers Negotiates and coordinates a prompt return to work with employer Maintains accurate record of management including costs, savings and demographic data Adheres to quality assurance standards Provides case direction and supervision to field case specialists when on-site intervention is required; ensures quality and appropriate service delivery Communicates effectively with handling claims examiner, client, claimant, and supervisor Supports the Total Performance Management initiative Qualifications Education & Licensing: Baccalaureate degree in nursing (BSN) from an accredited college or university or equivalent work experience preferred. Active RN license required. Certification in case management, rehabilitation nursing or a related specialty is highly preferred. Valid driver's license required. Experience: At least one of the following is required: A bachelors degree, or higher, in a health-related field and licensure as a health professional; or Certification as a case manager; RN licensure and three (3) years clinical experience Requires CCM, CRRN or other applicable licenses Skills & Knowledge: Knowledge of workers compensation laws and regulations Excellent oral and written communication skills, including presentation skills PC literate, including Microsoft Office products Leadership/management/motivational skills Effective analytical and interpretive skills Strong organizational skills
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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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Web Site: http://www.insurcrossing.com
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