RN Field Case Manager | Philadelphia, PA Direct Hire

Insurance Placement Solutions has an immediate opening for an RN Field Case Manager with our client. The RN Field Case Manager will facilitate progressive medical treatment/rehabilitation and/or timely return to work of injured workers, and act as the liaison for involved parties.

The Field Nurse Case Manager Responsibilities include, but are not limited to:

• Assesses and analyzes injured workers’ medical and vocational status.
• Develops progressive plan of care to facilitate medical recovery and progressive return to work.
• Manages one-time task assignment or full field case management referral to meet with attending physician, injured worker, and/or employer in person.
• Clarifies medical and/or vocational claim-related information which could not be obtained through correspondence or telephonic attempts by the claims team.
• Collaborates with members of the health care team to provide ongoing case management services.
• Acts as liaison for involved parties in the worker’s compensation injury by communicating in person and telephonically with the patient/caregiver, attorneys, employer, claims examiners, telephonic nurse case manager, return to work specialists, vocational rehabilitation supervisor, provider(s), ancillary provider(s) and health care team.
• Monitors injured employees’ progress towards appropriately established outcomes through continued assessment and evaluation.
• Coordinates necessary referrals, consultations, and therapeutic services for the injured employee.
• Completes the interview process with the patient/caregiver in the home, worksite, ancillary location or physician’s office for current and ongoing assessments and evaluations.
• Assists in the development of continued care plans as necessary to include patient education and prevention programs.
• Testifies as needed to substantiate relevant case work or reports.
• Confers with medical treating providers concerning the course of care and treatment per clinical guidelines.
• Educates medical providers on appropriate disability and treatment guidelines as necessary.

Experience

• 3+ years of home health, occupational health, or nursing case management experience
• The client is willing to train nurses with a minimum of 6 years of clinical experience, including 3 years of experience in a hospital setting

Education

• RN license is required
• Bachelor’s degree from an accredited college or university is preferred
• CCM, CRRN, COHN, CDMS eligibility or current certification preferred

About Insurance Placement Solutions

IPS is an insurance staffing and recruiting firm dedicated to the insurance industry, including other Nurse Case Management jobs in the Philadelphia, PA area. Our services are designed to be a resource for clients to gain access to high-caliber talent. Many of our clients do not have the dedicated manpower to quickly fill their temporary, temporary to hire or direct-hire vacancies. That is where we come in. Our clients are able to utilize our services to maintain business-as-usual during unforeseen interruptions and fluctuating business needs. Plus, our candidates benefit from gaining backdoor access to highly sought-after positions with top companies in the industry.

Tagged as: Field Case Manager, NCM, Nurse Case Manager, RN