IPMG

• Generate new business and drive revenue growth within assigned territory • Build and manage agent relationships; identify growth and cross-sell opportunities • Educate agents on IPMG products and services • Participate in agent visits, trade shows, and carrier events • Support underwriters with client service and retention strategies • Meet territory revenue, profitability, and carrier performance goals • Maintain accurate documentation and workflow compliance • Communicate promptly and professionally with agents, carriers, and internal teams • Additional tasks as requested by management

• Conducts initial and ongoing assessments to identify patient status and individual needs; promotes client self-determination • Assists in identifying appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source. • Utilizes appropriate resources and case management interventions to facilitate the case management plan and to allow for the individual’s optimum level of wellness and functional capability with quality cost-effective outcomes appropriate to health plan and workers’ compensation • Develops a specific case management plan in collaboration with the consumer and members of the health care team with periodic updates. • Identifies short term goals, long term goals, interventions to meet goals, resources to be utilized, timeframes for re-evaluations, and collaborative approaches to facilitate the case management plan • Executes and documents specific case management activities and/or interventions that will lead to accomplishing the goals set forth in the case management plan • Gathers sufficient information from all relevant sources and its documentation regarding the case management plan and its activities and/or services to enable the determination of the plan’s effectiveness • Evaluates at appropriate intervals, determining and documenting the case management plan’s effectiveness in reaching desired outcomes and goals with modifications, as appropriate • Measures and modifies the interventions to determine the outcomes of the case management involvement • Implements care plan by facilitating authorizations and referrals, as appropriate, within benefit structure, contractual agreements or jurisdictional regulations; utilizing nationally accepted evidence based criteria as guidelines for treatment protocols • Documents all contacts according to Best Practices, utilizing templates, as required • Notifies claims personnel regarding anticipated surgeries, benefit exceptions, and other significant events that may require special handling • Manages the disability durations proactively, utilizing nationally accepted evidence based criteria as guidelines for duration protocols in workers’ compensation and short term disability • Collaborates and communicates effectively with patients/injured workers, providers, client, employers, and internal team members • Performs triage intake functions with referrals and coordination of care needs specific to client instructions. • Performs leave administration and short term disability management according to regulations, policies, and plan documents