Job details
Job type full-time
Full job description
Company overview: mitchell, genex and coventry
With mitchell, genex and coventry now one organization, we’ve dramatically expanded our ability to deliver innovative services and technologies to our customersWe’ve also seen career opportunities within our combined organization growEach part of our organization helps people recover after a challenging event in their lives.
Mitchell delivers trusted software and services to the property & casualty claims, collision repair and risk management industries with technology-enabled solutions that simplify claims handling, repair processes and pharmacy transactionsGenex helps injured workers return to their jobs in a safe and efficient manner through compassionate case management, reducing health care costs and disability expenses for our customersCoventry offers the nation’s largest and most diverse set of provider and ancillary networks focused on improving total overall outcomes.
Together, we bring a complete set of proven capabilities for our partners who require more than one-dimensional solutionsWe combine innovative technology, insightful analytics and deep expertise to help them reach their ultimate goal—restoring livesJob description: this is a full-time, remote position with regular local travel (70%) required in the raleigh, nc area.
The field case manager is responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management processWorking as an intermediary between carriers, attorneys, medical care providers, employers and employees, you will closely monitor the progress of the injured worker and report results back to the employer and insurance carrierThis will ensure appropriate and cost-effective healthcare services leading to a medically rehabilitated individual who is ready to return to an optimal level of work and functioningYou will:
Use clinical skills to help coordinate the individual’s treatment program while maximizing cost containment.
Serve as an intermediary to interpret and educate the individual on his/her disability, and the treatment plan established by the case manager, physicians, and therapists.
Facilitate treatment between providers and the worker.
Provide resources for claims personnel when needing providers in certain locales.
Partner with employers determining modified work.
Accurately document meeting best practices timeframes.
Report billing hours in accordance with case activity and billing practices.
Follow specific account instructions.
Demonstrate professionalism within the work place and in dealing with injured workers.
Qualifications:
Masters degree in rehabilitation counseling or related from an accredited program.
Or licenses or certifications: current, unencumbered registered nurse license in the resident state required
Ccm, crrn, cohn, cdms, or crc preferred
Minimum of two years clinical experience in a hospital setting
Or 2 years in case management coordinating care for persons with disability and facilitating return to work needs
Worker’s compensation or disability management experience is highly desired, but not required
Previous field case management experience is preferred but not required
Requires excellent time management and organizational skills.
Spanish speaking a plus
Must have reliable transportation
Knowledge of basic computer skills including excel, word, and outlook email must have local unencumbered driver’s license
Written abilities: proficient grammar, sentence structure and written communication skills are required.
Requires dsl, fiber or cable internet connection from home1 mbps preferred or better
Benefits : we’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and selfThese offerings include medical, dental, vision, health savings accounts / flexible spending accounts, life and ad&d insurance, 401(k), tuition reimbursement, and an array of resources that encourage a lifetime of healthier livingThe company is an equal opportunity employer, values the diversity of our workforce and the knowledge of our peopleThe company does not discriminate against an applicant or employee on the basis of race, color, religion, national origin, ancestry, sex/gender, age, physical or mental disability, military or veteran status, genetic information, sexual orientation, gender identity, gender expression, marital status, or any other characteristic protected by applicable federal, state or local law#li-mw1
