Case Manager

Job Title: Nursing-Case Manager
Location: Hopewell, New Jersey 09534 - Remote
Duration: 6 months
Pay Rang: $32/HR $35/HR

Job Summary:

• Provides telephonic case management for workers compensation cases involving lost time and extensive medical care. Acts as a liaison between claimants, providers, external representatives, and attorneys, as needed, to manage the appropriate level of care.
  
  Responsibilities:
• Performs selected medical appropriateness protocol activities including telephone interviews and collection of information from claimants and providers.
• Performs three-point contact, directs care into the network, follows up on treatment status, corresponds with providers, and documents case files consistently.
• Evaluates and coordinates treatment plans proposed by providers, in accordance with established protocols. Authorizes medical treatment and associated diagnostic testing on assigned claims.
• Acts as a liaison to identify issues and problems relating to medical care, treatment plans, and claim processing, and forwards concerns to appropriate parties when necessary.
• Initiates calls and correspondence to claimants and providers to coordinate courses of treatment.
• Reviews and identifies claims involving complex injuries or treatment plans and refers them to a nurse case manager.
  
  Qualifications:
• Bachelors degree preferred. Requires a minimum of two years of business experience, preferably in a medical supportrelated position or health insurance environment.
• Knowledge: Proficient in the use of personal computers and supporting software in a Windows-based environment, including MS Office products (Word, Excel, PowerPoint). Knowledge of medical terminology required. Understanding of case management philosophy and processes preferred.
• Skills and Abilities: Strong typing, data entry, and numeric keypad skills. Comfortable using a calculator for simple math. Must demonstrate strong analytical and problem-solving skills, customer focus, interpersonal and relationship-building skills, communication (both verbal and written), organizational skills, decision-making ability, and flexibility/adaptability.
  
  Candidates with the following licenses or credentials are also encouraged to apply:
• LPC (Licensed Professional Counselor)
• LPCC (Licensed Professional Clinical Counselor)
• LSW (Licensed Social Worker)
• LCSW (Licensed Clinical Social Worker)

Benefits:
The Company offers the following benefits for this position, subject to applicable eligibility requirements: medical insurance, dental insurance, vision insurance, 401(k) retirement plan, life insurance, long-term disability insurance, short-term disability insurance, paid parking/public transportation, (paid time , paid sick and safe time , hours of paid vacation time, weeks of paid parental leave, paid holidays annually - AS Applicable)

• Case Manager
• Licensed Social Worker
• Licensed Clinical Social Worker