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Job Title:     Field Case Mgr - Med (WC) Job
Job Location:  PA: Erie
Pay Rate:      competitive
Job Length:    full time
Start Date:    2012-04-15

Company Name:  Coventry Health Care
Contact:       Karen Vargas
Phone:         Apply Online
Fax:           Apply Online

Description:   Job Title: Field Case Mgr - Med (WC)

Posting Location: PA - Erie

Location: PA - Erie

Employment Status: Part Time

Job Requisition Number: 169840

External Description:

Field Case Manager-Medical (WC)
Part time - 20 Hours
GENERAL SUMMARY
Responsible for assessing and analyzing an injured employee to evaluate the
medical and vocational needs required to facilitate the patients appropriate
and timely return to work. Acts as a liaison with patient/family, employer,
provider(s), insurance companies, and healthcare personnel.

ESSENTIAL RESPONSIBILITIES
- Assesses and analyzes an injured employees medical and vocational status.
Develops a plan of care to facilitate the patients appropriate and timely
return to work.
- Interviews patients in their homes, work-sites, or physicians office to
provide ongoing case management services.
- Monitors patient progress toward desired outcomes through assessment and
evaluation.
- Communicates both in-person and telephonically with patient, medical
providers, attorneys, employers and insurance carriers. Prepares all required
documentation of case work activities.
- May arrange referrals, consultations and therapeutic services for patients.
Confers with specialists concerning course of care and treatment.
- Develops and administers educational and prevention programs.
- Applies all laws and regulations that apply to the provision of rehabilitation
services. Applies all special instructions required by individual insurance
carriers and referral sources.
- Testifies as required to substantiate any relevant case work or reports.
- Performs other duties as assigned.

JOB SPECIFICATIONS
- Registered nurse with current state RN license.
- Previous (3 or more years) case management experience required.
- Bachelors degree or equivalent experience preferred.
- CCM, CRRN, COHN, or CDMS eligibility or current certification encouraged.
These designations are required where dictated by state law.
- Knowledge of laws and regulations governing delivery of rehabilitation
services.
- Knowledge of workers compensation and disability industry
- Strong problem solving and analytical skills.
- Ability to work independently (may require working from home).
- Demonstrated PC skills (may require the use of a laptop computer).
- Regular local travel required.
- Demonstrated communication, organizational, and interpersonal skills.

Please refer to Job code 1778001A0 when responding to this ad.

For FASTEST PROCESSING of your resume, please visit http://www.jobcircle.com/classifieds/11076322.html?source=ng to apply online.

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