Assessing, planning, implementing, coordinating, and evaluation of service options
Assist the injured worker in receiving appropriate, cost-effective medical care
Expedite their return to work
Communicate with medical providers, employers and with 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
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 discussions with injured worker, medical providers, claims examiners, and employers
Discuss the analyzed data and the comprehensive plan of care with the insurance representative prior to implementation
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
Coordinate information between all parties

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
Excellent Written and Oral Communication Skills
Excellent Interpersonal & Organizational Skills
High comfort level with computers and computer programs (MS Word, MS Excel, Email)

Telephonic Case Manager, RN – Bilingual Spanish

Key skills