Field Nurse Case Manager
AcrisureAbout the role
Providing quality service and accurate results supports Ascential Care Partner’s primary mission as a trusted adviser to our clients. As a Field Nurse Case Manager (full, or hybrid), you will be working in a fast-growing company and
work environment. Your valuable role requires working closely with treating physicians/providers, employers, claim representatives, legal representatives, and the injured/ disabled person to create and implement safe and effective Return to Work plans, and facilitate appropriate and cost-effective medical services to achieve maximum medical improvement and recovery. As a member of our team, you will continue to reinforce Ascential’s mission of being a market leader and collaborative partner to current and prospective customers and partners.
Job Duties: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Case Management & Application of Knowledge:
Demonstrate and apply knowledge of case management standards, injuries, medications, treatment options, and job duties to advise on and implement treatment plans
Adhere to ethical guidelines and best practice standards, ensuring quality of care.
Collaboration & Communication:
Collaborate in-person, telephonically and in writing with claims representatives, employer when applicable, and healthcare providers to achieve optimal return to work and claim outcomes
Facilitate in-person, telephonic and written communication and coordination with appropriate parties
Maintain regular, frequent in-person, telephonic and written contact with patients throughout the claim assignment
Involve patients in decision-making and encourage their appropriate use of healthcare services to maximize health outcomes and maintain cost-effectiveness.
Patient-Centered Care & Advocacy:
Assess patient needs, provide support and advocacy, promote self-advocacy and self-determination
Assist in safe transitioning of care, and resolve problems using multidisciplinary strategies, always prioritizing patient needs.
Documentation & Confidentiality:
Maintain accurate documentation of case management services in client records
Uphold patient confidentiality and adhere to HIPAA standards.
Quality Assurance:
Ensure quality of care by adhering to standards, measuring outcomes, making necessary adjustments, and following ethical guidelines.
Reflect the company’s philosophy by demonstrating ardent customer service-related results.
Professional Development:
Maintain professional and industry knowledge through continuous learning, networking, and participation in professional activities.
Maintain state license(s) and certifications required for this role.
Workload Management:
Manage assigned workload independently, prioritizing cases, evaluating progress, and modifying goals to improve treatment effectiveness and claim outcomes.
Physically attend appointments and visit hospital or facility locations as required to fulfill and complete assignments and tasks.
Perform other duties as assigned
Skills/Qualifications:
Credentials:
Current, active, and unrestricted RN license in the assigned location’s state or as otherwise required for a hybrid role
Certified Case Manager (CCM) Required
Certified Rehabilitation Registered Nurse (CRRN) Required
Experience:
Two or more years’ full-time work providing direct clinical care
Experience in worker's comp case management, occupational nursing, or related field preferred
Education:
Associate degree or bachelor’s degree in nursing
Required Skills:
Able to think critically and strategically to accomplish case goals
Excellent interpersonal skills, and customer service focused
Assertive and proactive in approach and communications
Maintains confidence and tact in difficult discussions and collaborations to achieve positive outcomes
Possesses strong organizational, task prioritization, and delegation skills
Demonstrates technical proficiency in Microsoft Office products and ability to learn new software
Ability to maintain accurate records, prepare reports, correct English usage, and maintain confidentiality
Ability to construct grammatically correct reports using standard medical te
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