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Field Case Mgr-Med (WC) - Louisville, KY  
Job Discovered:  2/23/2008 12:46 PM
Job Posted:  2/18/2008 6:49 AM
Job URL:  http://recruiter.kenexa.com/coventry/cc/CCJobDetailAction.ss ..
Company:  Coventry Health Care
Location:  Louisville, KY
Last View 1/29/2012 10:54:47 AM
Page Views 191

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Job Position Details

Job Title: Field Case Mgr-Med (WC)

Location: Louisville, KY

Company: Coventry Health Care

Field Case Manager-Medical (WC) GENERAL SUMMARY Responsible for assessing and analyzing an injured employee to evaluate the medical and vocational needs required to facilitate the patient?s appropriate and timely return to work. Acts as a liaison with patient/family, employer, provider(s), insurance companies, and healthcare personnel. ESSENTIAL RESPONSIBILITIES - Assesses and analyzes an injured employee?s medical and vocational status. Develops a plan of care to facilitate the patient?s appropriate and timely return to work. - Interviews patient?s in their homes, work-sites, or physician?s office to provide ongoing case management services. - Monitors patient progress toward desired outcomes through assessment and evaluation. - Communicates both in-person and telephonically with patient, medical providers, attorneys, employers and insurance carriers. Prepares all required documentation of case work activities. - May arrange referrals, consultations and therapeutic services for patients. Confers with specialists concerning course of care and treatment. - Develops and administers educational and prevention programs. - Applies all laws and regulations that apply to the provision of rehabilitation services. Applies all special instructions required by individual insurance carriers and referral sources. - Testifies as required to substantiate any relevant case work or reports. - Performs other duties as assigned. JOB SPECIFICATIONS - Registered nurse with current state RN license. - Previous (3 or more years) case management experience preferred. - CCM, CRRN, COHN, or CDMS eligibility or current certification encouraged. These designations are required where dictated by state law. - Knowledge of laws and regulations governing delivery of rehabilitation services preferred. - Knowledge of workers? compensation and disability industry preferred. - Strong problem solving and analytical skills. - Demonstrated communication, organizational, and interpersonal skills. MUST be computer proficient.
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