TITLE:
Nurse Case Manager
TYPE:
Part-time or Full-timeRemote – must be in MichiganLooking to cover the following area – Mt. Pleasant, MI and surrounding counties
COMPANY SUMMARY
: ReviewWorks founded in 1989 located in Northville, Michigan. Provides comprehensive Medical Review Services, Medical Case Management Services and Vocational Rehabilitation Services to customers that include self-insured entities, third party administrators and insurance carriers.
POSITION SUMMARY:
The incumbent develops comprehensive rehab plans and initiates medical management rehabilitation efforts to maximize client recovery and return to gainful employment or independent status
ESSENTIAL FUNCTIONS:
Manage a caseload of approximately 15-25 active clientsNurse Case Manager is responsible to generate:- Full-time - 80 billable hours per pay period or a combination of approved nonbillable time plus billable hours to equal 80 hours
- Part-time – 40 billable hours per pay period or a combination of approved nonbillable time plus billable hours to equal 40 hours
Develop and implement comprehensive rehabilitation plan by:- Assessment: Process of collecting in-depth information about a person’s situation
- Planning: Process of determining specific objectives, goals, and actions designed to meet the client’s needs
- Implementation: Process of executing specific case management activities and/or interventions to accomplish the goals set forth in the case management plan
- Coordination: Process of organizing, securing, integrating, and modifying the resources necessary to accomplish the goals set forth in the case of the management plan
- Monitoring: Process of gathering sufficient information from all relevant sources about the case management plan to determine the plan’s effectiveness
- Evaluation: Process of determining the case management plan’s effectiveness in reaching desired outcomes and goals
Timely comprehensive report and documentation of services providedPersonal visits and local travel to clients, physicians, hospitals, agencies, schools, employers, etcPROFESSIONAL BACKGROUND:
Experience as a professional Rehabilitation Case Manager in the Private Sector with a full-time caseload of WC and Auto No-Fault recipients or related experienceExtensive knowledge of Michigan Worker’s Compensation and Auto No-Fault Insurance coverage
Medical:
RN with current licenseFive years of nursing minimum
Credentials:
CRRN or CCM preferred Obtain CCM when eligible Orthopedic and/or rehab experience preferred
SKILLS AND ABILITIES REQUIRED TO PERFORM ESSENTIAL FUNCTIONS:
PC skills – Required Knowledge of Microsoft Office, Lotus Notes, Advocate – Helpful Ability to drive a distance of 100 miles one way – Required Ability to drive a distance of 300 miles one way – Occasionally Written communication skillsTelephone skillsAbility to walk up one flight of stairsAbility to lift 20 pounds
PERSONAL CHARACTERISTICS:
Initiative, drive, creativity, and persistence, Good organizational skills, Highest professional skills
39 To 41 (USD) Hourly
