Field Case Manager Bilingual
Job ID: 21-11606
Type: Regular Hire
# of Openings: 1
Category: Case Management
Mitchell, Genex and Coventry
Excelente oportunidad de empleo para enfermeras graduadas (RN) bilinges (espaol/ingls)! With Mitchell, Genex and Coventry now one organization, weve dramatically expanded our ability to deliver innovative services and technologies to our customers. Weve also seen career opportunities within our combined organization grow. Each part of our organization helps people recover after a challenging event in their lives.
Mitchell delivers trusted software and services to the property & casualty claims, collision repair and risk management industries with technology-enabled solutions that simplify claims handling, repair processes and pharmacy transactions. Genex and Coventry help injured workers return to their jobs in a safe and efficient manner through compassionate case management, reducing health care costs and disability expenses for our customers. Coventry offers the nations largest and most diverse set of provider and ancillary networks focused on improving total overall outcomes.
Together, we bring a complete set of proven capabilities for our partners who require more than one-dimensional solutions. We combine innovative technology, insightful analytics and deep expertise to help them reach their ultimate goalrestoring lives.
This is a full-time, remote position with regular local travel (70%) required in the Baltimore Maryland area.
The Field Case Manager is responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Working as an intermediary between carriers, attorneys, medical care providers, employers and employees, you will closely monitor the progress of the injured worker and report results back to the employer and insurance carrier. This will ensure appropriate and cost-effective healthcare services leading to a medically rehabilitated individual who is ready to return to an optimal level of work and functioning. You will:
Use clinical skills to help coordinate the individuals treatment program while maximizing cost containment.
Serve as an intermediary to interpret and educate the individual on his/her disability, and the treatment plan established by the case manager, physicians, and therapists.
Facilitate treatment between providers and the worker.
Provide resources for claims personnel when needing providers in certain locales.
Partner with employers determining modified work.
Accurately document meeting Best Practices timeframes.
Report billing hours in accordance with case activity and billing practices.
Follow specific account instructions.
Demonstrate professionalism within the work place and in dealing with injured workers.
- Must be bilingual Spanish.
Licenses or Certifications: Current, unencumbered Registered Nurse license required in Maryland; WCCM, CCM, COHN, CDMS, or CRRN preferred.
Minimum of one year clinical experience in a hospital setting.
Workers compensation or disability management experience is highly desired but not required.
Previous field case management experience is preferred but not required.
Requires excellent time management and organizational skills.
- Must have reliable transportation.
Knowledge of basic computer skills including Excel, Word, and Outlook Email.
Must have local unencumbered drivers license and proof of automobile insurance.
Written Abilities: Proficient grammar, sentence structure and written communication skills are required.
Home Office Requirements:
- Requires DSL, fiber or cable internet connection from home. 1 Mbps preferred or better.
- Home office must be HIPAA compliant.
Please see job description
Please see job description