Mitchell International, Inc.

  • Sr. Field Nurse Case Manager - Worker's Compensation (Remote San Francisco)

    Job Location US-CA-San Francisco | US-CA-San Francisco | US-CA
    Job ID
    17-7964
    Type
    Regular Hire
  • Company Overview

    As the most trusted technology and services partner for the Workers’ Compensation claims and medical bill review industry for 25 years, Our Workers' Compensation management 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 is a full-time, work from home position, with regular local travel required (70%).*

     

    In addition to salary and benefits, we also offer our Field Nurse Case Managers: paid travel time, mileage reimbursement and monthly phone and internet reimbursement.

     

    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.  

     

    • 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.

     

     

    Qualifications

    *Candidate will work remotely, but must be in the San Francisco, CA area.* 

    • Licenses or Certifications: Current, unencumbered Registered Nurse or Licensed Vocation Nurse license in the resident state; CCM, COHN preferred.
    • Minimum of one year clinical experience in a hospital setting
    • Worker’s 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.
    • Spanish speaking a plus
    • Must have reliable transportation
    • Knowledge of basic computer skills including Excel, Word, and Outlook Email Must have local unencumbered driver’s license and proof of automobile insurance.
    • Written Abilities: Proficient grammar, sentence structure and written communication skills are required.

     

     

    Mitchell International, an equal opportunity employer, values the diversity of our workforce and the knowledge of our people.  Mitchell will not discriminate against an applicant or employee on the basis of race, color, religion, national origin, ancestry, sex/gender, age, physical or mental disability, military or veteran status, genetic information, sexual orientation, gender identity, gender expression, marital status, or any other characteristic protected by applicable federal, state or local law.

     

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