Telephonic Nurse Case Manager at Rising Medical Solutions

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Telephonic Nurse Case Manager at Rising Medical Solutions. As our Telephonic Nurse Care Manager, you will coordinate all aspects of patient care for high-risk individuals. You will evaluate each patient while directing treatment plans, discuss claims, benefits, and eligibility, and manage resources while working alongside patients, their families, and other medical professionals..  . In this job, you will: . . Establish collaborative relationships and act as an intermediary between clients, patients, employers, providers, and attorneys. . Assess, coordinate, implement, monitor, and evaluate the plan to meet the injured/disabled individual’s needs, utilizing the knowledge of medical necessity, care appropriateness, and managed care principles. . Promote quality, cost-effective care throughout the health continuum to ensure the injured/disabled individual is able to return to an optimal level of work and functioning and documenting case savings. . Document ongoing progress of all case management activity, including the organized maintenance of files containing clinical documentation of interactions with all parties of every claim. . Assess injury severity, extent of disability, treatment plans, functional abilities, and physical job requirements to establish return to work plans and strategies to manage future medical exposure. . . An RN License preferably in a compact state AND with an IL license . . California RN license a plus. . Full Time – 9:00am CST to 5:30pm CST, with the ability to flex time based on the jurisdiction. . Strong computer skills required – Microsoft Suite (Outlook, Excel, Word, etc.). . At lest 3 years of TCM experience preferred. . . Experience with Workers’ Compensation or Disability Management. . The ability to maintain confidentiality of all information, policies, and procedures. . The ability to set priorities and work both autonomously and as part of a team. . Demonstrated sensitivity to culturally diverse people and situations. . Well-developed time management, organization, and prioritization skills. . Knowledge of utilization management, case management, and healthcare provided throughout the health continuum. . Excellent oral and written communication skills with a heavy focus on customer-service. . The ability to gather data, compile information, and prepare summary reports. . Strong interpersonal and conflict resolution skills. . Experience in a fast-paced, multi-faceted environment. . Demonstrated persistence and attention to detail. . The ability to stay calm during stressful situations. . Having your BSN, CCM, and/or any other insurance/workers’ compensation certifications is a huge plus!. . Associate degree. . Company Location: United States.