Field Case Mgr-Med (WC) - Portland ME
Location: Portland Maine
Description: Aetna is employing Field Case Mgr-Med (WC) - Portland ME right now, this vacancy will be placed in Maine. For detail informations about this vacancy opportunity kindly see the descriptions. Req ID: 15028BR
Responsible for assessing and analyzing an injured employee to evaluate the medical and vocational needs required to facilitate the patient’s appropriate and timely return to work. Acts as a liaison with patient/family, employer, provider(s), insurance companies, and healthcare personnel.
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- Assesses and analyzes an injured employee’s medical and vocational status. Develops a plan of care to facilitate the patient’s appropriate and timely return to work.
Monitors patie! nt progress toward desired outcomes through assessment and evaluation.
Communicates both in-person and telephonically with patient, medical providers, attorneys, employers and insurance carriers. Prepares all required documentation of case work activities.
May arrange referrals, consultations and therapeutic services for patients. Confers with specialists concerning course of care and treatment.
Develops and administers educational and prevention programs.
Applies all laws and regulations that apply to the provision of rehabilitation services. Applies all special instructions required by individual insurance carriers and referral sources.
Testifies as required to substantiate any relevant case work or reports. Performs other duties as assigned.
- Registered nurse with current state RN license.
Bachelor’s degree or equivalent experience preferred.
CCM, CRRN, CO! HN, or CDMS eligibility or current certification encouraged. These designations are required where dictated by state law.
Knowledge of laws and regulations governing delivery of rehabilitation services.
Knowledge of workers’ compensation and disability industry
Strong problem solving and analytical skills.
Ability to work independently (may require working from home).
Demonstrated PC skills (may require the use of a laptop computer).
Regular local travel required.
Demonstrated communication, organizational, and interpersonal skills.
Coventry Health Care is an Affirmative Action/Equal Opportunity Employer, and we are committed to building a talented and diverse team.
Job Function: Workers' Compensation
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If you were eligible to this vacancy, please email us your resume, with salary requirements and a resume to Aetna.
If you interested on this vacancy just click on the Apply button, you will be redi! rected to the official website
This vacancy starts available on: ! Sat, 07 Dec 2013 18:21:22 GMT