Job Summary
The Medical Case Manager plays a critical role in assessing the medical conditions of injured or disabled patients. They are responsible for identifying the needs and challenges these individuals face in their recovery and achieving their return-to-work objectives. This role involves coordinating care efforts with various stakeholders, including healthcare providers, employers, and claims adjusters, while ensuring adherence to quality standards and administrative protocols.
Responsibilities
- Evaluate the medical status of injured or disabled individuals to assess their recovery needs and barriers.
- Collaborate with physicians, employers, and claims adjusters to facilitate effective care coordination.
- Ensure compliance with established quality standards and administrative requirements.
Qualifications
- Active Registered Nurse (RN) license is required.
- 1-3 years of varied clinical experience is essential.
- A nursing degree is mandatory.
- Preferred national certifications include CCM, CRC, COHN, or CRRN.
