Field Case Manager
Company: Genex Services, LLC.
Posted on: January 13, 2022
The Enlyte Family of Businesses
Mitchell - Genex - Coventry
Enlyte is the parent brand of Mitchell, Genex and Coventry, an
organization unlike any other in the Property & Casualty industry,
bringing together three great businesses with a shared vision of
using technology innovation, clinical services and network
solutions to help our customers and the people they serve. Our
suite of products and services enable our employees to help people
recover from challenging life events, while providing opportunities
for meaningful impact and career growth.
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 process.
Working 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 carrier. This 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 functioning. You 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
Partner with employers determining modified work.
Accurately document meeting Best Practices timeframes.
Report billing hours in accordance with case activity and billing
Follow specific account instructions.
Demonstrate professionalism within the work place and in dealing
with injured workers.
Licenses or Certifications: Current, unencumbered Registered Nurse
license required in the resident state; CCM, COHN, CDMS, or CRRN
Minimum of one year clinical experience in a hospital setting.
Worker's compensation or disability management experience is highly
desired but not required.
Previous field case management experience is preferred but not
Requires excellent time management and organizational skills.
Spanish speaking a plus.
Must have reliable transportation.
Knowledge of basic computer skills including Excel, Word, and
Must have local unencumbered driver's license and proof of
Written Abilities: Proficient grammar, sentence structure and
written communication skills are required.
Home Office Requirements:
Requires DSL, fiber or cable internet connection from home. 1 Mbps
preferred or better.
Home office must be HIPAA compliant.
We're committed to supporting your ultimate well-being through our
total compensation package offerings that support your health,
wealth and self. These 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 living. In
addition to salary and benefits, we also offer our Field Case
Managers: a Case Management bonus, paid travel time, mileage
reimbursement and monthly phone reimbursement. - The Company is an
equal opportunity employer, values the diversity of our workforce
and the knowledge of our people. The 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
Keywords: Genex Services, LLC., Greenville , Field Case Manager, Executive , Greenville, North Carolina
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