Field Case Manager RN

Employer
Hoover Rehabilitation Services
Location
Frederick County, MD
Posted
Oct 20, 2021
Closes
Oct 23, 2021
Ref
155986282
Industry
Healthcare
Hours
Full Time
Job Description NOTE: If you are NOT AN RN OR ARE NOT ABLE to work from your home in or around the Frederick, MD area, please do not apply to this position. (Note: various travel by car to surrounding areas is required.) SCOPE AND RESPONSIBILITIES Conduct intake interviews with injured/disabled, limited individual, head trauma and spinal- cord injured persons and their families Coordinate medical/psychological care by developing, initiating, and instituting a rehabilitation plan for the disabled individual, which includes addressing safety issues. Periodically review all plans for effectiveness to assure that desired outcomes and goals are met Case staffing with other relevant rehabilitation professionals in order to provide appropriate and adequate physical care for the injured individual as prescribed by the physician Monitor care being provided and obtain independent medical opinions when indicated to obtain necessary medical clarification, and apprise involved parties of medical status and care being rendered Facilitate case management activities leading to vocational readiness Provide assistance for home modification, vehicle modifications, PT/OT services, medication regimen, procuring orthotic devices, prescribed healthcare equipment, and coordinating home healthcare services Perform employer interviews with employer representatives to ascertain relevant job duties and essential functions of pre-injury jobs; may assist in job restructuring; determine the availability of alternate, modified, and light duty positions with pre-injury employers, as specified by the physician; conduct job analysis (when appropriate) Act as liaison, coordinating efforts with the injured individual, physicians, medical and psychological care providers, attorneys, employers and insurance professionals Assist insurance professionals in determining and projecting future care, needs and expenses; provide pertinent information to assist life care plan specialists Adhere to the policies and standards set forth by our URAC accreditation as well as jurisdictional legislative and regulatory requirements May serve on the QI Committee to identify areas of improvement and future quality improvement initiatives May attend meetings with various Hoover departments to coordinate case management efforts Reports directly to a medical services supervisor EXPECTED PROFESSIONAL COMPETENCIES: Analyze current health status of injured workers to determine nursing care needs Professional level of verbal and written communication skills Minimal computer competency Basic level of understanding of procedural and legislative rules and regulations QUALIFICATIONS AND EXPERIENCE: Current and unrestricted RN license in the state/jurisdiction for which the nurse is being hired Two years of direct clinical care experience The following are not required; however, individuals possessing any of the following will received preference: Certification as a case manager (CCM, CDMS, CRC) Bachelor's Degree (or higher) in a health-related field and/or licensed or certified as a health care professional Company Description With more than 40 years of experience managing workers' compensation for commercial insurance carriers, employers and government, Hoover has the medical and insurance expertise, leading-edge technology, human and business resources, and organizational flexibility to help our customers rise above their workers' compensation challenges. Our strength is in our service, and we offer a level of stability and continuity rarely found in the workers' compensation marketplace. Our customers' satisfaction is our core value, and is behind every service we provide. As business needs change in the new economy, we continue to expand and refine our services, streamline processes and workflows, and embrace new technologies - all in support of our commitment to helping our customers manage the impact and control the costs of workplace injury and illness. As our fifth decade of service dawns, we are looking for the right people to become a part of our continued legacy of service. Perhaps you're one of them

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