Registered Nurse Case Manager occupation at Genex in Dallas

Genex is at the momment seeking for Registered Nurse Case Manager on Thu, 22 Aug 2013 22:31:04 GMT. Job Description: We are currently seeking Bilingual Field Nurse Case Manager (RN) in the Dallas, Fort Worth or Mid Cities area. 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...

Registered Nurse Case Manager

Location: Dallas Texas

Description: Genex is at the momment seeking for Registered Nurse Case Manager right now, this occupation will be placed in Texas. More details about this occupation opportunity please give attention to these descriptions. Job Description:
We are currently seeking Bilingual Field Nurse Case Manager (RN) in the Dallas, Fort Worth or Mid Cities area.

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.

Main responsibilities will include but are not limited to:

• Using clinical/nursing skills to help coordinate the individual?s treatment program while maximizing cost containment.
• Explaining physician's and therapists' instructions, and answers any other questions the claimant may have in an effort to facilitate his/her return to work.
• Working with the physicians and therapists to set up medical assessm! ents to develop an overall treatment plan that ensures cost co! ntainment while meeting state and other regulator's guidelines.
• Researching alternative treatment programs such as pain clinics, home health care, and work hardening.
• Coordinating all aspects of the individual's enrollment into the programs, and then monitors his/her progress, in an effort to maximize cost containment and minimize time away from work.
• Working with employers on modifications to job duties based on medical limitations and the employees functional assessment.
• May provide testimony on litigated cases.
• Coordinating injured workers' appointments and arranges and/or personally escorts him/her to the appointments.
• Documenting and reporting all case activity for accurate case management and billing procedures.
• Preparing detailed evaluation reports, as per account guidelines, and case recording documenting for each phase of activity as it is completed.
• Reporting billing hours in accordance with c! ase activity and billing practices.
• Maintaining phone contact with all parties involved to monitor, update, and advance case activity to ensure the progress of the case.
• Compiling a case inventory on a monthly basis for submission to the branch manager to allow for proper billing and to calculate hours for bonus purposes.
• Completing insurance carrier reports on a monthly (or as required) basis, as well as other necessary paperwork for the insurance company, state, or other regulatory bodies.
• Maintaining the necessary credentials and demonstrates a level of professionalism within the work place and in dealing with injured workers reflects positively on the company as a whole.
• Acquiring and maintaining knowledge of developments in the medical case management field.
• Keeping abreast of local workers? compensation laws and regulations, as well as other issues related to the case management/managed care industry.

Requirements:

• You must live in the Dallas or Fort Wor! th, TX area and speak Spanish.
• Diploma, Associate or bachelors degree in nursing or bachelors degree (or higher) in a health or human services related field required. Masters level and/or advanced study in a health-related field desired.
• Minimum of three (3) years full time equivalent of direct clinical care to consumers required. Case Management and/or Workers? compensation-related experience strongly preferred.
• Registered nurse with current, valid state licensure required.
• Must be eligible to sit for CCM certification and must have a valid driver?s license.
• Experience in Home Health, rehabilitation services industry, vocational/ occupational/ industrial nursing preferred.
• Background in state workers? compensation law and practices desirable.
• Excellent interpersonal skills, phone manners and organizational skills are essential.
• Must be proficient in Microsoft Office suite with such programs as Word and! Excel as well as have experience with internet searches and a comfort level with other software programs.
• Ability to set priorities and work independently is essential.
• Spanish speaking ability a plus!

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If you were eligible to this occupation, please email us your resume, with salary requirements and a resume to Genex.

If you interested on this occupation just click on the Apply button, you will be redirected to the official website

This occupation starts available on: Thu, 22 Aug 2013 22:31:04 GMT

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