Clinical CC in Cheyenne, Wyoming

Join Our Team and Make a Difference!

Are you looking for an impactful role where you finish the workday knowing you helped someone? Whether you are part of our care coordination team or play a supporting role, the work our colleagues do every day enables us to collectively reach our mission of getting people the care they need when they need it. By staying committed to our core values of Think Big, Go Fast, Deliver Awe, Win Together and Care Deeply, we can positively impact the lives of the injured workers we serve and get them back to the things that matter most in life.

Salary Range:
This compensation range considers a wide range of factors, including, but not limited to, skill set, experience and training, licensure and certifications, and other business and organizational needs. The disclosed range estimate is not adjusted for geographic differential associated with the location where the position may be filled. At One Call, it is not typical for an individual to be hired at or near the top of the range for their role, and compensation decisions are dependent on the facts and circumstances of each case.

We offer a vast array of benefits to help support the whole you, including:

• Remote Work:
  We are a remote-first company, and almost all positions receive the flexibility of working from home.
• Generous Time Off:
  Besides 8 company holidays and 2 personal days every year, all colleagues receive a minimum of 18 days of paid time off.
• Comprehensive Benefits Package:
  Including medical, dental, vision, and pet insurance; 401(k) matching program; and company-paid life insurance and short and long-term disability coverage.
• Supportive Services:
  Just like our colleagues get injured workers the care they need when they need it, we want to do the same for our colleagues in their time of need. We offer a Colleague Assistance Program that provides free counseling and financial services, and our One Call Foundation, a non-profit arm of our company, provides colleagues financial assistance during times of unexpected hardships.

JOB SUMMARY:

Provides support to the carrier in coordination of workers' compensation patients until the case is closed by the carrier and/or discharged by the physician.

ESSENTIAL DUTIES & RESPONSIBILITIES:

• Manages the completion of any portion of process that Care Coordinator was unable to complete, if any.
• Facilitates flow of evaluation(s), orders, and progress notes from provider(s) to Nurse Case Manager or adjuster per One Call Care Management's nursing department protocol.
• Reviews MD orders, initial assessments/evaluations and progress notes on patient, and communicates with provider and carrier per One Call Care Management's Nursing department procedure to provide updates and ensure progress of patient.
• Locates provider(s) or contact established provider(s) to arrange additional service for current patient.
• Communicates with Nurse Case Manager/adjuster and/or provider to ensure appropriate physician orders are obtained and followed.
• Contacts Nurse Case Manager or Adjuster to obtain authorization for additional or continued service(s).
• Creates purchase order(s) per One Call Care Management's nursing department procedure to authorize additional or continuation of service(s) to provider.
• Utilizes appropriate tracking tools, i.e. authorization logs, Outlook Calendar or Task function, to ensure follow-up on critical timelines as outlined in One Call Care Management's nursing department procedures for obtaining evaluations/notes, tracking authorizations, and contacting carriers.
• Coordinates quality assurance issues or concerns involving patient care, retrieval of evaluations and/or notes, and authorization of services closely with assigned Quality Assurance nurse.
• Maintains thorough, up-to-date documentation on each patient in patient database.
• Closes file per One Call Care Management's nursing department procedure once Nurse Case Manager or adjuster cease authorization or physician discharges from home care.
• Notifies appropriate One Call Care Management's department(s) of referrals requiring their expertise.
• Assists in training new associates as requested by Nursing Department Training Leader.
• Performs special projects as assigned and prioritized by management.

EDUCATIONAL AND EXPERIENCE REQUIREMENTS:

• Registered Nursing degree; (R.N., L.P.N., or M.A.) with a minimum of two (2) years of experience in acute setting, home care, or front and back medical office.

ESSENTIAL KNOWLEDGE, SKILLS & ABILITIES:

• Knowledge of the company's products, services and business operations to enable resolution of customer inquiries.
• Excellent customer service skills that build high levels of customer satisfaction.
• Excellent verbal and written communication skills.
• Computer navigation and operation skills.
• Demonstrates effective people skills and sensitivities when dealing with others.
• Ability to work both independently and in a team environment.
• Ability to work in an environment that aligns with the company's diversity, equity, inclusion and…