AppletonRecruiter Since 2001
the smart solution for Appleton jobs

Medical Case Manager - Seasonal

Company: Broadspire By Crawford Company
Location: Appleton
Posted on: August 18, 2019

Job Description:

Responsibilities- Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individuals medical status, identifies needs and obstacles to medical case resolution and RTW by providing proactive case management services. Render opinions regarding case costs, treatment plan, outcome and problem areas, and makes recommendations to facilitate case management goals to include RTW. Demonstrates ability to meet administrative requirements, including productivity, time management and QA standards, with a minimum of supervisory intervention. May perform job site evaluations/summaries to facilitate case management process. Facilitate timely return to work date by establishing a professional working relationship with the injured worker/disabled individual, physician, and employer. Coordinate RTW with injured worker, employer and physicians. Maintains contact and communicates with claims adjusters to apprise them of case activity, case direction or secure authorization for services. Maintains contact with all parties involved on case, necessary for case management the injured worker/disabled individual. May obtain records from the branch claims office. May review files for claims adjusters and supervisors for appropriate referral for case management services. May meet with employers to review active files. Makes referrals for Peer reviews and IMEs by obtaining and delivering medical records and diagnostic films, notifying injured worker/disabled individual and conferring with physicians. Utilizes clinical expertise and medical resources to interpret medical records and test results and provides assessment accordingly. May spend approximately 70% of their work time traveling to homes, health care providers, job sites and various offices as required facilitating RTW and resolution of cases. Meets monthly production requirements and quality assessment (QA) requirements to ensure a quality product. Reviews cases with supervisor monthly to evaluate files and obtain directions. Upholds the Crawford and Company Code of Business Conduct at all times. Demonstrates excellent customer service, and respect for customers, co-workers, and management. Independently approaches problem solving by appropriate use of research and resources. May perform other related duties as assigned. Requirements- Associates degree or relevant course work/certification in Nursing is required. Minimum of 3-5 years diverse clinical experience and one of the below Certification as a case manager from the URAC-approved list of certifications; A bachelors (or higher) degree in a health or human services related field; A registered nurse (RN) license. Valid RN licensure in the state(s) the incumbent works in. Must meet specific licensing requirements to provide medical case management services. Minimum of 1 National Certification (CCM, CDMS, CRRN, and COHN) is highly preferred. If not attained, must plan to take certification exam within proceeding 24 months and have a minimum of 4 years WC case management experience/demonstrated excellent performance in a similar position with another organization. Travel may entail approximately 70% of work time. Must maintain a valid drivers license in state of residence. General working knowledge of case management practices and ability to quickly learn and apply workers compensation/case management products and services. Excellent oral and written communications skills to effectively facilitate return-to-work solutions within a matrix organization and ensure timely, quality documentation. Excellent analytical and customer service skills to facilitate the resolution of case management problems. Basic computer skills including working knowledge of Microsoft Office products and Lotus Notes. Demonstrated ability to establish collaborative working relationships with claims adjusters, employers, patients, attorneys and all levels of employees.

Keywords: Broadspire By Crawford Company, Appleton , Medical Case Manager - Seasonal, Executive , Appleton, Wisconsin

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


Category Manager - Recording & Musical Instruments
Description: Full Compass is currently seeking a Category Manager CM to join its Merchandising team. The CM is responsible for developing, sourcing, pricing and merchandising a group of products for catalog, internet (more...)
Company: Full Compass Systems
Location: Madison
Posted on: 08/18/2019

Leasing Manager - Hub Madison
Description: BE Valued. BE Rewarded. BE Fulfilled.Join a team that is driven by excellence, integrity, passion and dedication. At Greystar, it is our goal to continually encourage our teams to go Beyond Expectations (more...)
Company: Greystar
Location: Madison
Posted on: 08/18/2019

Infrastructure Project Manager
Description: TeamSoft is seeking an Infrastructure Project Manager for a contract opportunity in Madison, WI. Required Skills Infrastructure IT Project Management skills 5-10 years Experience with physical site (more...)
Company: TeamSoft
Location: Madison
Posted on: 08/18/2019


Quality Process Transformation Manager
Description: At Northwestern Mutual, we are strong, innovative and growing. We invest in our people. We care and make a positive difference. Your mission at Northwestern Mutual What's the role The Quality Governance (more...)
Company: Northwestern Mutual
Location: Milwaukee
Posted on: 08/18/2019

Manager, Supplier Strategy & Investment
Description: Inspire and deliver exceptional value to travelers around the globe as part of the Apple Leisure Group ALG team Our vision is to be the best-in-class and largest all-inclusive resort management and (more...)
Company: Apple Leisure Group
Location: Milwaukee
Posted on: 08/18/2019

National Account Manager
Description: JOB REQUIREMENTS: Name: National Account Manager Req : 491 Job Summary: DR Power Equipment is seeking a National Account Manager to join our Field Sales team. You will be joining us at an exciting time (more...)
Company: Generac Power Systems
Location: Waukesha
Posted on: 08/18/2019

Manager, Special Events
Description: Right now, millions of Americans are facing the devastation of Alzheimer s. This disease is robbing us of our finances, our families and our futures - but at the Alzheimer s Association, we re relentlessly (more...)
Company: Alzheimer's Association, Org.
Location: Milwaukee
Posted on: 08/18/2019

Director of Partnerships
Description: We are searching for a Director of Partnerships for our partner in Madison The ideal candidate will have a hunter spirit and enjoy being on the ground floor of a young company advancing software and (more...)
Company: Carex Consulting Group
Location: Madison
Posted on: 08/18/2019

Creative & Design Manager
Description: The Creative and Design Manager is an exciting opportunity to join a fast-moving natural foods company positioned for significant growth. We're looking for a person who believes food should taste amazing (more...)
Company: Angelic Bakehouse
Location: Milwaukee
Posted on: 08/18/2019

Director of Operations - Own a Franchise
Description: Directors of Operations: Make
Company: CMP.jobs
Location: Madison
Posted on: 08/18/2019

Log In or Create An Account

Get the latest Wisconsin jobs by following @recnetWI on Twitter!

Appleton RSS job feeds