Nurse Case Manager

Bakersfield, California

 

Are you a RN who values autonomy, setting your own schedule and likes to office remotely?   Are you well organized, computer savvy, and appreciates a market driven salary with immediate benefits?  

Part of QUESTPRO’S exclusive clientele, this Select National Managed Care Company who is experiencing accelerated growth will be adding additional RN-Field Case Manager(s) in Bakersfield, CA.  

QUALIFICATIONS: 

"Take Charge" RN w/an active CA License possessing strong clinical background in: ER, OR, Med Surge, and/or Orthopedics is preferred.  No prior case management is required; however, exposure to Workers’ Compensation, Home Health or Medical Case Management of any kind where care coordination is routinely performed is strongly preferred.  

Excellent computer & organizational skills: Day driving to area appointments is required. Mileage Reimbursement & laptop provided, base salary W2. 

PERKS:  

Amazing Benefits

Training is provided by supportive experienced management staff

Long Term Career Path

Work/Family Balance 

OVERVIEW:  

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.

QUALIFICATIONS:

 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.