MUST HAVE CERTS. CCM OR COHN OR CDMS OR CRRN
Coventry Health Care was established in 1986 as a provider of managed health care services, offering members a wide choice of options, high standards of care and affordable rates.
Are you an RN looking for better work/life balance? Do you want to plan your own day? Do you want a job with flexibility and where you have a home office? Do you want to make commission based on the quality of you work? If you answered "YES" to any of these questions, then a position as a Field Case Manager with Coventry is what you have been looking for! Our FCM's are dedicated healthcare professionals with a focus on providing quality care. You will meet with injured workers in the field and assess the medical and/or vocational components of injured worker's situation to restore injured worker's function, capacity and self-esteem.** In addition to a competitive base salary, our unique commission plan rewards the FCM based on the quality and completeness of their work/documentation, and hours worked over 40. This promotes a great customer service and value to our clients. Home office, cell phone, mileage , salary with monthly bonus potential, and end of year bonus potential.
Responsible for assessing and analyzing an injured employee to evaluate the medical and vocational needs required to facilitate the patient's appropriate and timely return to work. Acts as a liaison with patient/family, employer, provider(s), insurance companies, and healthcare personnel.
Assesses and analyzes an injured employee's medical and vocational status. Develops a plan of care to facilitate the patient's appropriate and timely return to work.
Interviews patient's in their homes, work-sites, or physician's office to provide ongoing case management services.
Monitors patient progress toward desired outcomes through assessment and evaluation.
Communicates both in-person and telephonically with patient, medical providers, attorneys, employers and insurance carriers. Prepares all required documentation of case work activities.
May arrange referrals, consultations and therapeutic services for patients. Confers with specialists concerning course of care and treatment.
Develops and administers educational and prevention programs.
Applies all laws and regulations that apply to the provision of rehabilitation services. Applies all special instructions required by individual insurance carriers and referral sources.
Testifies as required to substantiate any relevant case work or reports.
Performs other duties as assigned.
Registered nurse with current state RN license.
Previous (3 or more years) case management experience required.
Bachelor's degree or equivalent experience preferred.
CCM, CRRN, COHN, or CDMS REQUIRED. These designations are required where dictated by state law.
Knowledge of laws and regulations governing delivery of rehabilitation services.
Knowledge of workers' compensation and disability industry
Strong problem solving and analytical skills.
Ability to work independently (may require working from home).
Demonstrated PC skills (may require the use of a laptop computer).
Regular local travel required.
Demonstrated communication, organizational, and interpersonal skills.
Coventry Workers' Comp Services
Coventry Health Care is an Affirmative Action/Equal Opportunity Employer, and we are committed to building a talented and diverse team
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