LPN/RN Worker's Comp Case Manager - Bilingual Preferred (Farmington, CT) at / LPN Jobs

This job ad has been posted over 40 days ago...

applicants

LPN/RN Worker's Comp Case Manager - Bilingual Preferred (Farmington, CT)

at in Farmington, CT

M Hayes is a national managed care company that is currently seeking LPN/RN Workers Comp Case Managers - Farmington, CT Full time, 8 hours per day, Monday thru Friday in office setting
Case Management experience is desired; 2 years of clinical experience in orthopedic, trauma and/or rehabilitation necessary. Spanish/English Bilingual preferred.
Listed below are some of the responsibilities:
The Worker's Comp Case Manager is responsible for providing telephonic case management services for exclusive clients which facilitate the delivery of quality, cost effective interventions to injured and ill clients across the cointinuum of care. Each dedicated program may have unique contractual requirements that will be followed.
Referral:
Identifies clients appropriate for assessment.
Evaluation/Assessment:
Develop reapport with the client, medical providers, employer, payer, legal representatives, and all other appropriate parties, and foster understanding of the purpose and goasl of the case management process.
Collect and document information about the client's circumstances, functioning, and needs in order to identify, goals and objectives, necessary to develp a comprehensive case management plan.
Establish ongoing relationships and communication with all parties to ensure that all new information impacting the client being served by the case management process is evaluated.
Obtain additional evaluations such as functional capacity assessment, job analysis, and medical/clinical examinations required to compile a complete assessment.
Plan Development:
Critically assess and integrate all relevant information necessary to develop an effective case management plan.
Identify objectives, goals and actions to specifically address and meet the needs of the client being served by the case management process, through interdisciplinary collaboration.
Implementation:
Identify, procure, provide, and coordinate services and resources necessary to execute case management plan actions.
Written and telephoniic communication and interaction with clients, medical providers, employer, payer and other appropriate parties to accomplish the agreed upon objectives set forth in the case management plan.
Provide education and guidance to the client and all appropriate parties to foster understanding of and participation in the case management plan.
Coordination:
Coordinate quality, cost effective, and necessary medical treatment and services as needed to support the objective of the case management plan. Such services may include therapy, durable medical equipment, home care, and discharge planning.
Develop early return to work alternatives through interaction with the client, employer, and medical provider, where consistent with the plan objectives.
Document and report progress/developments to all appropriate parties on a frequent and consistent basis.
Monitoring/Ongoing Evaluation:
Monitor activities and services associated with the case management process on an ongoing basis.
Apply negotiation and conflict resolution strategies to overcome barriers to plan. Identify, provide/coordinate services necessary to ensure effectiveness of plan.
Report Writing/Record Keeping:
An Initial Assessment report must be completed within a reasonable timeframe from referral, generally, 15 days.
Status or interim reports are to be complted on a minimum of 30 day basis, depending on case acuity as well as account directives.
Recording fixed and actual time charging for activities performed to the account must be documented.
Data and claim/file information must be maintained in the files such as medical/psychological reports, correspondence between parties, regualtory orders relating to the individual, and any written agreements such as training, OJT's, release of client records, responsibilities, etc.
Closure:
Case closure is afected when case management goals have been achieved or further services will not result in a benefit or individual's improvement.
Education/Licensure and Certifications:
A bachelor's (or higher) degree in a health-related field and licensure as a health professional; or certification as a case manager; or RN license with a minimum of two years full time equivalent of direct clinical care to the consumer and preferable three (3) years of clinical practice experience and practice case management with in the scope of their licensure.
Maintains case management and other specified professional certifications and registrations as required by respective states, regulations and statutes.
Professional Experience/Competency Qualifications:
Preferably a minimum of three years of clinical experience and telephonic case management experience preferred. A broad range of knowledge of medical diagnosis/impairments is desirable.; perferably rehabilitation, trauma, or occupational experience. Bilingual preferred, but not required.
Physical Demands:
Must be able to see, speak English, sit, stand, and lift/carry up to 10 lbs.
Please respond to this posting with the location in the subject line of your email. Location: Farmington, CT
Compensation: To be discussed
Principals only. Recruiters, please don't contact this job poster.
Please, no phone calls about this job!
Please do not contact job poster about other services, products or commercial interests.

» Apply now