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Job Title: Field Case Mgr-Med (WC) - Pittsburgh PA Job
Job Location: PA: Pittsburgh
Pay Rate: competitive
Job Length: full time
Start Date: 2012-11-13
Company Name: Coventry Health Care
Contact: Karen Vargas
Phone: Apply Online
Fax: Apply Online
Description: Description:
Responsible for assessing and analyzing an injured employee to evaluate the medical and vocational needs required to facilitate the patientTMs appropriate and timely return to work. Acts as a liaison with patient/family, employer, provider(s), insurance companies, and healthcare personnel.
- Assesses and analyzes an injured employeeTMs medical and vocational status. Develops a plan of care to facilitate the patientTMs appropriate and timely return to work.
- Interviews patientTMs in their homes, work-sites, or physicianTMs 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.
Qualifications:
- Registered nurse with current state RN license.
- Previous (3 or more years) case management experience required.
- BachelorTMs 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 workersTM 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.
Coventry Health Care is an Affirmative Action/Equal Opportunity Employer, and we are committed to building a talented and diverse team.
Job: Professionals
Primary Location: Pittsburgh, PA, US
Organization: 43000 - CHC Workers Compensation
Schedule: Part-time
Job Posting: 2012-09-27 00:00:00.0
Job ID: 1211633
Please refer to Job code 2182609A1 when responding to this ad.
For FASTEST PROCESSING of your resume, please visit http://www.jobcircle.com/classifieds/11376500.html?source=ng to apply online.
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