Posted September 24, 2023
SteadPoint Insurance
Claims Adjuster, Remote Position
Contact Bill@steadpoint.com
Posted August 2, 2021
Mitchell, Genex and Coventry
Field Case Manager – Job Description
This is a full, remote position with regular local travel (75%) required in TN
Job Description:
The Field 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. You will:
• Use clinical skills to help coordinate the individual’s treatment program while maximizing cost containment.
• Serve 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 the worker.
• Provide resources for claims personnel when needing providers in certain locales.
• Partner with employers determining modified work.
• Accurately document meeting Best Practices timeframes.
• Report billing hours in accordance with case activity and billing practices.
• Follow specific account instructions.
• Demonstrate professionalism within the work place and in dealing with injured workers.
Qualifications
• Licenses or Certifications: Current, unencumbered Registered Nurse license required in the resident state; CCM, COHN, CDMS, or CRRN preferred.
• Minimum of five years 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.
Home Office Requirements:
• Requires DSL, fiber or cable internet connection from home. 1 Mbps preferred or better.
• Home office must be HIPAA compliant.
Benefits/ EEO Statement:
We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. In addition to salary and benefits, we also offer our Field Case Managers: a Case Management bonus, paid travel time, mileage reimbursement and monthly phone reimbursement.
The Company is an equal opportunity employer, values the diversity of our workforce and the knowledge of our people. The Company does 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.
Posted June 15, 2021
Nurse Case Manager, Nashville Area, RN BSN, Remote Office with Travel
About us: At Arete Consulting LLC, our mission is to provide the highest quality nurse medical case management with a cost-effective delivery. Improving outcomes with excellence in case management. Arete Consulting, LLC is a woman-owned business, established in 2013 by Dana Volner and is based in Jackson, TN. Dana brings more than 27 years of nursing experience as a Legal Nurse Consultant and Official Disability Guidelines or ODG Certified Case Manager. The Arete team are all experienced Bachelors-level Registered Nurses and/or Certified Case Manager Registered Nurses with years of surgical, critical care, orthopedic, neurology, and psychology nursing experience.
We are seeking a Nurse Case Manager in the NASHVILLE Tennessee area. This RN BSN is responsible for the medical case management of work-related injuries, which includes assessment, planning, coordination, implementation, and evaluation of injured workers. The case manager works with insurance carriers, medical care providers, attorneys, employers, and the injured worker, closely monitoring the progress and coordinating the care to move the claim forward in a time and cost-effective manner to reach the maximum medical outcome.
Arete Consulting utilizes a custom software system for a seamless and straightforward case management process. We have written processes for all of our job duties to help move your day forward without requiring micro-management. We believe in a culture of providing excellence to our patients, our providers, and our clients. Excellence is an expectation of attitude and performance.
Please email a cover letter, your resume, and three professional references. You will not be considered for this position without providing all requested information.
Contact Delicia Schrupp, Administrator, delicia@areteconsultingllc.net, 731-420-4924.