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Registered Nurse (RN) - Bilingual Workers' Comp Field Case Manager - Grand Island

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Company: Aetna

Location: Lincoln, NE

Date Posted: July 16, 2014

Source: Aetna Inc

Coventry Workers’ Comp Services offers workers' compensation cost and care management solutions for employers, insurance carriers, and third-party administrators. This is a work at home position that requires traveling up to 80% of the time in the greater Grand Island area. Candidates must be an RN in the state of Nebraska or Kansas and be bilingual in Spanish and English. Candidates must be willing to get an RN license in the state of Nebraska if they do not already have one. Our Field Case Managers (FCMs) are dedicated healthcare professionals with a focus on providing quality care. As an FCM, you will meet with injured workers in the field and assess the medical and/or vocational components of the injured worker's situation in order to restore function, capacity and self-esteem. This position includes a home office, cell phone, and mileage reimbursement. If you are looking for a better work ...

Coventry Workers’ Comp Services offers workers' compensation cost and care management solutions for employers, insurance carriers, and third-party administrators. This is a work at home position that requires traveling up to 80% of the time in the greater Grand Island area. Candidates must be an RN in the state of Nebraska or Kansas and be bilingual in Spanish and English. Candidates must be willing to get an RN license in the state of Nebraska if they do not already have one. Our Field Case Managers (FCMs) are dedicated healthcare professionals with a focus on providing quality care. As an FCM, you will meet with injured workers in the field and assess the medical and/or vocational components of the injured worker's situation in order to restore function, capacity and self-esteem. This position includes a home office, cell phone, and mileage reimbursement. If you are looking for a better work/life balance, and a job with flexibility where you can work from home and plan your own day, then a position as a Field Case Manager with Coventry is what you have been looking for!

RESPONSIBILITIES:

• Assess and analyze injured worker's medical and/or vocational status and develop a viable service plan
• Meet with clients in their homes, work-sites, physician's or therapist's office to provide ongoing case management
• Develop a plan of care for patients from admission to discharge
• Monitor patient’s progress toward desired outcomes through assessments and evaluations
• Communicate both in-person and telephonically with client, medical providers, attorneys, employers, insurance, etc.
• Develop and administer education and prevention programs
• Develop guidelines for working with patients, healthcare management companies, insurance companies or other third party payers to determine quality, cost-effective care
• Apply all special instructions required by individual insurance carriers and referral sources
• Apply all applicable laws and regulations to the provision of rehabilitation services
• Testify, when called upon to do so, in order to substantiate any casework or reports that may be seen as relevant to a hearing involving the client
• Prepare reports and other required paperwork as documentation of all casework activities
• Arrange, as needed, referrals, consultations, therapeutic services, and confers with other specialists on course of care and treatment
• Evaluate outcome of patient care

REQUIRED SKILLS:

• Bilingual in Spanish and English
• Current Registered Nursing (RN) license

PREFFERED SKILLS:

• Workers' Comp
- 1-3 Years
• Case Management
- 2-4 Years
• Home Health
- 1-3 Years
• Med/Surd – 1-3 Years
• COHN, CRRN, CDMS

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