Bilingual Telephonic Case Manager – Spanish

Role Overview

• 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)

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