Mitchell International, Inc.

Senior Field Nurse Case Manager - Los Angeles

US-IL
Job ID
17-7394
Type
Regular Hire

Company Overview

Mitchell’s worker’s compensation national managed care program offers solutions for insurance carriers, third-party administrators and employers.  We recommend an integrated suite of solutions that include utilization review and case management with a focus on managing total claims costs while expediting safe return to work.

Job Description

*** This position is based remotely Los Angeles ***

 

The Field Nurse 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.

 

This position requires frequent driving and is considered a “field” position.

  • Job duties are performed in home office and out in the field. Driving is required approximately 50-60% of the time.
  • Using clinical/nursing skills to help coordinate the individual’s treatment program while maximizing cost containment.
  • Serving 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 worker.
  • Resource for claims personnel when needing providers in certain locales.
  • Partner with employers determining modified work.
  • Accurate and quality documentation meeting Best Practices timeframes.
  • Reporting billing hours in accordance with case activity and billing practices.
  • Following specific account instructions.
  • Demonstrates a level of professionalism within the work place and in dealing with injured workers reflects positively on the company as a whole.

Knowledge: A seasoned, experienced professional with a full understanding of area of specialization; resolves a wide range of issues in creative ways. You will be responsible for managing an average of 25-35 cases per month. A clinical background related to trauma, neurological, orthopedic,  or occupational health nursing is required. Worker’s compensation experience is required.

 

Job Complexity: Works on problems of diverse scope where analysis of data requires evaluation of identifiable factors. Demonstrates good judgment in selecting methods and techniques for obtaining solutions. Networks with senior internal and external personnel in own area of expertise.

 

Supervision: Normally receives little instruction on day-to-day work, general instructions on new assignments.

Qualifications

  • Worker’s compensation or disability management experience.
  • Proven experience in Nurse Case Management.
  • Two to five years’ experience as a field case manager.
  • Must have excellent time management and organizational skills.
  • Written Abilities: Proficient grammar, sentence structure and written communication skills are required.
  • Technical Experience: Knowledge of basic computer skills including Excel, Word, and Outlook Email is required. You will also need direct access to the internet.
  • Spanish speaking a plus.
  • Licenses or Certifications: Current, unencumbered Registered Nurse license in the resident state; CCM, COHN preferred, or able to sit for exam within one year of employment. Must have reliable transportation M-F, 8am-5pm Pacific Time. Must have local unencumbered driver’s license and proof of automobile insurance.
  • Location: Remote, home office.
  • Requires valid driver's license

Physical Requirements: Candidate must be able to sit in an office and drive a car 70-80% of an 8 hour day with the exception of lunch and break times. Candidate must be able to keyboard 40-60% of an 8 hour day with the exception of lunch and break times. Candidate must have manual dexterity. Candidate must be able to speak clearly on the telephone intermittently throughout the day. Candidate must be able to read and write English fluently. Candidate must be able to provide and confirm safe home office environment.

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