Posted in Other 23 days ago.
This job brought to you by Professional Diversity Network, Inc
Type: Full Time
Location: Lake Oswego, Oregon
JOIN OUR GROWING TEAM
Are you tired of bedside nursing?
Are you looking to get away from 12-hour hospital shifts while continuing to utilize your RN expertise to impact the lives of patients in your local community?
We are seeking self-motivated,energetic, detail oriented, highly organized, tech-savvy Registered Nurses to join our Workers' Compensation Field Case Management team. This opportunity offers a competitive salary, full benefits, and a performance-based bonus paid out on a monthly or quarterly basis. Our organization promotes autonomy through a Monday-Friday working schedule, paid holidays, and flexibility as you coordinate the care of your members.
Responsible for assessing and analyzing an injured employee to evaluate the medical and vocational needs required to facilitate the patient's appropriate and timely return to work.Acts as a liaison with patient/family, employer, provider(s), insurance companies,and healthcare personnel.
59692 Fundamental Components: Acts as a liaison with member/client /family, employer, provider(s), insurance companies, and healthcare personnel as appropriate. Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care. Interacts with members/clients telephonically or in person. May be required to meet with members/clients in their homes, work-sites, or physician's office to provide ongoing case management services.
Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client's appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate.
Communicates with member/client and other stakeholders as appropriate (e.g., medical providers, attorneys, employers and insurance carriers) telephonically or in person.
Prepares all required documentation of case work activities as appropriate.
Interacts and consults with internal multidisciplinary team as indicated to help member/client maximize best health outcomes.
May make outreach to treating physician or specialists concerning course of care and treatment as appropriate.
Provides educational and prevention information for best medical outcomes.
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.
Conducts an evaluation of members/clients' needs and benefit plan eligibility and facilitates integrative functions using clinical tools and information/data. Utilizes case management processes in compliance with regulatory and company policies and procedures. Facilitates appropriate condition management, optimize overall wellness and medical outcomes, appropriate and timely return to baseline, and optimal function or return to work. Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes, as well as opportunities to enhance a member's/client's overall wellness through integration. Monitors member/client progress toward desired outcomes through assessment and evaluation. Background Experience: LICENSE REQUIRED
Registered Nurse (RN) with active state license in good standing in the state where job duties are performed.
Case management experience preferred
2 years clinical practice experience
Ability to travel within a designated geographic area for in-person case management activities
Knowledge of laws and regulations governing delivery of rehabilitation services.
Job-specific technical knowledge, (e.g., knowledge of workers compensation and disability industry for workers' compensation case managers or case management).
Excellent analytical and problem solving skills Effective communications, organizational, and interpersonal skills.
Ability to work independently
Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications.
Effective computer skills including navigating multiple systems and keyboarding
All employees are expected to
embody our values of Excellence, Integrity, Caring and Inspiration in all that
they do as an employee. The overall responsibility of the Field Case
Manager is to ensure the injured worker receives the best possible care in a
timely and efficient manner towards full rehabilitation and return to work.
Please note that we do offer mileage reimbursement for local travel.
As a Workers' Compensation Field
Case Manager, you will be offered:
Reimbursement for mileage,
tolls, parking, licensure and certification
Laptop, iPhone &
printer/fax/scanner all in one.
All major holidays are paid time
off, vacation and sick time off is accrued. Full benefits offered
including 401(k) and many corporate discounts available. Employees are
reimbursed for fees to maintain licensure as well as free CEU's to maintain
licensure. Continuing Education credits are available/provided for RN and
a various industry certifications too. Work from home with in-state
travel. In addition to annual salary, position has potential for a monthly
Benefit eligibility may vary by
position. Click here to review the benefits associated with this position.
Additional Job Information: High initiative,
challenging position that utilizes critical thinking and effective
communication skills while working with injured workers, employers, claims
examiners, attorneys, and treatment providers to improve patient outcomes.
Evaluates injured workers' medical and vocational needs to develop a
specialized plan of care that promotes successful return to work while
assisting in the coordination of therapeutic services. Monitors injured
workers' progress toward desired outcomes in a variety of environments,
including the home, work site, and physician office settings. Opportunity to
make a positive impact in the life of an injured worker. Aetna benefits
package. Required Skills: Service - Case Administration Functional Skills: Nursing - Case Management, Nursing - Disability, Nursing - Medical-Surgical Care, Nursing - Occupational Technology Experience: Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft Word, Desktop Tool - TE Microsoft Excel Education: Nursing - Registered Nurse (RN) Potential Telework Position: Yes Percent of Travel Required: 75 - 100% EEO Statement: Aetna is an Equal Opportunity, Affirmative Action Employer Benefit Eligibility: Benefit eligibility may vary by position. Click here to review the benefits associated with this position. Candidate Privacy Information: Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests