Telephonic Case Manager; RN - Part-time - REMOTE - Bilingual Spanish - CA License

Part-Time Telephonic Case Manager - Rare Opportunity!

EK Health is now hiring for a Part-time Telephonic Nurse Case Manager (RN) (up to 29 hours/week) for our Case Management Team! This role includes assessing, planning, implementing, coordinating, and evaluating service options. The goal of the Case Manager is to assist the injured worker in receiving appropriate, cost-effective medical care for their injury in a timely manner, and to expedite their return to work.

Position Logistics: Monday – Friday, between the hours 8:30am
-5:30pm PST. This position is less than 30 hours/week. REMOTE.

• Workers Compensation Case Management experience
• CA RN license in good standing
• Valid state approved RN license in good standing
• Bilingual in Spanish

• Base pay $35-42/hr wage is based on experience, education, certifications and location on individual state requirements).
• 401K
• Equipment is provided
• Monthly internet stipend

• Communicate with medical providers, employers and with injured workers
• Perform a complete nursing evaluation to determine needs of patient
• Review and evaluate all medical correspondence, provider reports, & treatment plan history
• Evaluate clinical status of claimant and research for alternative options to treatment as warranted
• Communicate with the claims examiners regarding directives, and provide updates on file status
• Arranging transportation services when necessary and authorized
• Evaluating therapy facilities and their progress on specific cases
• Prepare comprehensive notes following any discussions had with injured worker, medical providers, claims examiners, and employers in the case file
• Discuss the analyzed data and the comprehensive plan of care with the insurance representative prior to implementation
• Upon authorization, implement this plan of care with patient, physician and health care providers
• Arrange for care/services as needed (home care, procedures, medication, equipment or supplies)
• Monitor the plan of care with modifications or changes suggested to the patient and physician as the need arises
• Coordinate information between all parties (injured worker, physicians, employer, other providers, such as therapists, and attorney, if any is involved)