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Experience Better Managed Care.
Bilingual Telephonic Case Manager – Spanish
Location
California
Posted
104 days ago
Salary
$72.8K - $87.4K / year
Seniority
Senior
Job Description
Bilingual Telephonic Case Manager – Spanish
EK Health Services Inc.
• Assessing, planning, implementing, coordinating, and evaluation of service options. • Communicate with medical providers, employers and injured workers • Perform a complete nursing evaluation to determine needs of patient • Review and evaluate all medical correspondence, provider reports, & treatment plan history • Evaluate clinical status of claimant and research for alternative options to treatment as warranted • Communicate with the claims examiners regarding directives • Provide updates on file status • Arrange transportation services when necessary and authorized • Evaluating therapy facilities and their progress on specific cases • Prepare comprehensive notes following any discussions had with injured worker, medical providers, claims examiners, and employers in the case file • Discuss the analyzed data and the comprehensive plan of care with 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)
Job Requirements
- Graduate of an accredited school of nursing
- 3-5 years clinical experience as an RN outside of school
- Workers Compensation Case Management experience
- CA RN license in good standing
- Valid state approved RN license in good standing
- Bilingual in Spanish
Benefits
- Medical, Dental and Vision Insurance
- 401K
- Paid Time Off
- Paid Holidays
- Equipment is provided
- Monthly internet stipend
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