RN Field Case Manager - RN, CCM, CRC

This Field Case Manager will cover our Seattle, WA region and is full time, 40 hours per week.

PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office.

ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.

• Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury.
• Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face interaction with injured workers and medical professionals.
• Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting.
• Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations.
• Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
• Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more.
• Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

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ESSENTIAL RESPONSIBLITIES MAY INCLUDE

• Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process.
• Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation.
• Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source

EDUCATION AND LICENSING

RN licensure preferred; or graduate degree in health or human services field required with a one of the following certifications:    CCM, CDMS, or CRC.    Valid driver’s license required. High speed internet required.

TAKING CARE OF YOU BY

• Offering flexibility and autonomy.
• Supporting meaningful work that promotes critical thinking and problem solving.
• Providing on-going learning and professional growth opportunities.
• Promoting a strong team environment and a culture of support.
• Recognizing your successes and celebrating your achievements.
• We offer a diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day.

NEXT STEPS

If your application is selected to advance to the next round, a recruiter will be in touch.

Additional Job Description

PRIMARY PURPOSE:  To facilitate progressive medical treatment/rehabilitation and/or timely return to work of injured worker; and to act as liaison for involved parties.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Assesses and analyzes injured worker's 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 to clarify medical and/or vocational claim related information which could not be obtained through correspondence or telephonic attempts by 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 employee's 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.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.
• Supports the organization's quality program(s).
• Travels as required.

QUALIFICATION

Education & Licensing

Current state RN licensure preferred.  Bachelor's degree in a health or human services field from an accredited college or university preferred. Certified Case Manager (CCM), Certified Disability Manager Specialist (CDMS), or Certified Rehabilitation Counselor (CRC) certification required. Valid driver’s license required.

Experience

Min  of 1 year of related work experience or equivalent combination of education and experience required to include case management experience.

Skills & Knowledge

• Knowledge of laws and regulations pertaining to rehabilitation and HIPPA
• Knowledge of workers' compensation and/or disability
• Excellent oral and written communication skills
• PC literate, including Microsoft Office products
• Strong problem-solving skills
• Ability to work independently
• Excellent interpersonal and negotiation skills
• Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental:  Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical:  Computer keyboarding, travel as required

Auditory/Visual:  Hearing, vision and talking

NOTE:  Credit security clearance, confirmed via a background credit check, is required for this position.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description.  They are not intended to constitute a comprehensive list of functions, duties, or local variances.  Management retains the discretion to add or to change the duties of the position at any time.