Nurse Case Manager

This is a remote position. Aquarius Strategies has been retained to recruit Nurse Case Managers to provide case management services to patients receiving care under the Workers Compensation & Disability Insurance Claims Industry. This trusted organization is seeking case managers to service the following states/regions: SouthEast PA, Northern VA, & NJ Under general direction, the Nurse Case Manager is responsible for collaborating with all case-involved parties to assess, promote, and coordinate appropriate and timely client medical care. Expertise is utilized to implement interventions resulting in optimal recovery and functioning.

Requirements

Essential Duties and Responsibilities: Support day-to-day operations of the Quality Management Program Initiate contact with Attorney, and maintain as necessary Secure Authorization for Release of Medical Information from consumer Conduct initial interview, collecting current and historical consumer information Obtain medical restrictions from attending physician through completion of Physical Capabilities Evaluation Form Coordinate receipt of all pertinent details necessary for assessment of medical condition Determine case direction, establishing specific rehabilitation objectives and goals towards physical and psychological recovery and define associated actions Coordinate service delivery from external providers and community resources Conduct cost analysis and negotiate fees Implement medical management through routine physician contact and routine contact with other relative medical personnel to include physical therapist, occupational therapist, nutritionist, and the like Coordinate and monitor participation in appropriate rehabilitative programs Monitor and evaluate rehabilitative progress and obtainment of goal Secure completed Job Description from the consumer’s Employer, and pursue job accommodations as appropriate Coordinate and maintain schedule of daily activities Formulate timely case reports, to include presentation and analysis of factual information Submit timely office reports as requested Determine vocational interventions and maintain regular contact with Vocational Case Manager when appropriate to monitor Consumer progress Potentially travel routinely within two-hour, one-way driving radius for client and/or medical appointments; occasional extensive travel also required Participate in continued training in services and industry Will refrain from assigning any clinical duties to non-clinical, administrative support staff Will practice only within the boundaries of competence, based upon education, training, certification and professional experience Will adhere to all applicable physician, hospital, facility procedures, to include checking in with designated personnel Perform other duties and responsibilities as assigned Competencies: Ability to establish professional working relationships and effective communication with employees, clients, vendors industry partners Ability to maintain daily scheduled activities with effective time management skills Ability to conduct thorough medical records review Ability to assess medical status and formulate recommendations Ability to coordinate medical services Ability to write factual, clear and concise reports, to include situational analysis Informed, effective and efficient decision-making skills Computer skills, to include proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) Organization and accuracy skills Ability to communicate clearly, both verbally and in writing Education and/or Experience: (includes certificate & licenses) Associate’s Degree in Nursing; Bachelor’s Degree preferred Minimum 5 years of direct patient care experience required Previous case management experience desirable Current, unrestricted licensure as a Registered Nurse, permitting practice in a state or territory of the United States; specifically, those states or territories in which services are provided Maintain at least one current, unrestricted industry-related National Professional Certification (achieved or working towards upon eligibility) Participate in ongoing continuing education courses/activities as required by the standards of current professional license(s)/certification(s) Possess independent transportation and current, unrestricted driver’s license

Benefits

Healthcare Dental Vision Life, Accident & Disability Benefits Spending Accounts Health & Wellness Programs Supplemental Health Benefits 401k Retirement Plan (matching) Apply To This Job