CA Telephonic Case Manager I

Requirements

• Provide medical case management to individuals through coordination with the patient, the physician, other health care providers, the employer, and the referral source
• Provide assessment, planning, implementation, and evaluation of patient's progress
• Evaluate patient's treatment plan for appropriateness, medical necessity, and cost effectiveness
• Utilize medical and nursing knowledge to discuss the current treatment plan/alternate treatment plans with the physician
• Make medical recommendations of available treatment plans to the payer
• Implement care such as negotiating and coordinating the delivery of durable medical equipment and nursing services
• Devise cost-effective strategies for medical care
• Prepare organized reports within a specified timeframe
• Comply with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (“IIPP”)
• Additional duties as assigned

Benefits

• Medical (HDHP) w/Pharmacy
• Dental
• Vision
• Long Term Disability
• Health Savings Account
• Flexible Spending Account Options
• Life Insurance
• Accident Insurance
• Critical Illness Insurance
• Pre-paid Legal Insurance
• Parking and Transit FSA accounts
• 401K
• ROTH 401K
• Paid time off