Part-time Nurse Case Manager - Redding, CA
Redding, CA Redding, CA Part-time Part-time $40 - $48 an hour $40 - $48 an hour 12 days ago 12 days ago 12 days ago EK Health is looking for a part-time Field Nurse Case Manager in the Redding, CA area.
This is a vital and dynamic role that serves as a patient advocate, coordinator, and liaison between the patient, healthcare providers, and insurance companies.
A Field Nurse Case Manager's primary role is to ensure that patients receive high-quality and cost-effective healthcare services.
This is a great, flexible opportunity for seasoned or new Nurse Case Managers! Highlights include:
No Shift work No weekends or holidays Flexible hours during normal weekday schedule Remote position (with some travel required) Excellent orientation and mentoring program Woman and minority owned business Opportunities for career advancement Caring, family environment Position Logistics:
Non-Exempt, Part-time (up to 20 hours/week), Monday - Friday, Travel required, during the hours of 8 am - 5:
30 pm PST.
We also offer our Field Nurse Case Managers:
paid travel time, mileage reimbursement, company phone and internet cost reimbursement.
Responsibilities include (but are not limited to):
Completing in person visits at medical providers, employers and with injured workers Completing referrals within computer database from either injury report or information gathered from the web-based system Performs 3-point contact on new files Reviewing and evaluating all medical correspondence, provider reports, & treatment plan history Providing necessary updates to all parties Evaluating clinical status of claimant and research for alternative options to treatment as warranted Communicating with the claim's examiners regarding directives, and provides updates on file status Arranging transportation services when necessary and authorized Evaluating therapy facilities and their progress on specific cases Preparing comprehensive notes following any discussions had with IW, medical providers, claims examiners, and employers in the case file Perform a complete nursing evaluation to determine needs of patient Discuss the analyzed data and the comprehensive plan of care with the insurance representative prior to implementation Upon authorization, implement this plan of care with patient, physician and health care providers Arrange for care/services as needed (home care, procedures, medication, equipment or supplies) Monitor the plan of care with modifications or changes suggested to the patient and physician as the need arises Coordinate information between all parties (injured worker, physicians, employer, other providers, such as therapists, and attorney, if any is involved) Determine the progress and the effectiveness of the care Prepare a monthly report of the patient's progress and specific cost savings Evaluating clinical files ongoing and ensuring care is medically necessary Identifying cases that are not utilizing the MPN or PPO network providers, and appropriately redirects IW to the network providers, as applicable.
This position starts at $38-$48 per hour based on experience and location.
Requirements Graduate of an accredited school of nursing 5 years clinical experience as an RN outside of school Valid California RN license in good standing with no restrictions Valid California Drivers License Workers Compensation experience and Utilization Review experience preferred Possesses and can demonstrate the professional and technical skills of a Registered Nurse Experience in Home Health Care, Occupational Health considered a plus Excellent Written and Oral Communication Skills Excellent Interpersonal Skills Strong Organization Skills High comfort level with computers and computer programs (MS Word, MS Excel, Email) Ability to work independently with minimal supervision Ability to meet deadlines in a high pressure, time sensitive environment Requires DSL, fiber, or cable internet connection from home 100 mbps preferred or better .
Estimated Salary: $20 to $28 per hour based on qualifications.
This is a vital and dynamic role that serves as a patient advocate, coordinator, and liaison between the patient, healthcare providers, and insurance companies.
A Field Nurse Case Manager's primary role is to ensure that patients receive high-quality and cost-effective healthcare services.
This is a great, flexible opportunity for seasoned or new Nurse Case Managers! Highlights include:
No Shift work No weekends or holidays Flexible hours during normal weekday schedule Remote position (with some travel required) Excellent orientation and mentoring program Woman and minority owned business Opportunities for career advancement Caring, family environment Position Logistics:
Non-Exempt, Part-time (up to 20 hours/week), Monday - Friday, Travel required, during the hours of 8 am - 5:
30 pm PST.
We also offer our Field Nurse Case Managers:
paid travel time, mileage reimbursement, company phone and internet cost reimbursement.
Responsibilities include (but are not limited to):
Completing in person visits at medical providers, employers and with injured workers Completing referrals within computer database from either injury report or information gathered from the web-based system Performs 3-point contact on new files Reviewing and evaluating all medical correspondence, provider reports, & treatment plan history Providing necessary updates to all parties Evaluating clinical status of claimant and research for alternative options to treatment as warranted Communicating with the claim's examiners regarding directives, and provides updates on file status Arranging transportation services when necessary and authorized Evaluating therapy facilities and their progress on specific cases Preparing comprehensive notes following any discussions had with IW, medical providers, claims examiners, and employers in the case file Perform a complete nursing evaluation to determine needs of patient Discuss the analyzed data and the comprehensive plan of care with the insurance representative prior to implementation Upon authorization, implement this plan of care with patient, physician and health care providers Arrange for care/services as needed (home care, procedures, medication, equipment or supplies) Monitor the plan of care with modifications or changes suggested to the patient and physician as the need arises Coordinate information between all parties (injured worker, physicians, employer, other providers, such as therapists, and attorney, if any is involved) Determine the progress and the effectiveness of the care Prepare a monthly report of the patient's progress and specific cost savings Evaluating clinical files ongoing and ensuring care is medically necessary Identifying cases that are not utilizing the MPN or PPO network providers, and appropriately redirects IW to the network providers, as applicable.
This position starts at $38-$48 per hour based on experience and location.
Requirements Graduate of an accredited school of nursing 5 years clinical experience as an RN outside of school Valid California RN license in good standing with no restrictions Valid California Drivers License Workers Compensation experience and Utilization Review experience preferred Possesses and can demonstrate the professional and technical skills of a Registered Nurse Experience in Home Health Care, Occupational Health considered a plus Excellent Written and Oral Communication Skills Excellent Interpersonal Skills Strong Organization Skills High comfort level with computers and computer programs (MS Word, MS Excel, Email) Ability to work independently with minimal supervision Ability to meet deadlines in a high pressure, time sensitive environment Requires DSL, fiber, or cable internet connection from home 100 mbps preferred or better .
Estimated Salary: $20 to $28 per hour based on qualifications.
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