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Telephonic Case Manager (RN) - Part-time - REMOTE - Bilingual Spanish - CA License

Remote · Philippines Full-time

Part‑Time Telephonic Case Manager - Rare Opportunity! EK Health is now hiring for a Part‑time Telephonic Nurse Case Manager (RN) (up to 29 hours/week) for our Case Management Team. The role includes assessing, planning, implementing, coordinating, and evaluating service options to help injured workers receive appropriate, cost‑effective medical care in a timely manner and expedite their return to work. Position Logistics Monday – Friday, between the hours 830 am – 530 pm PST. This position is less than 30 hours/week and is remote. Benefits & Perks Base pay $35–$42/hr, adjusted for experience, education, certifications and location. 401(k) plan Equipment provided Monthly internet stipend Responsibilities Here’s a snapshot of what you’ll be doing (not all-inclusive) Communicate with medical providers, employers, and injured workers. Perform a complete nursing evaluation to determine patient needs. Review and evaluate all medical correspondence, provider reports, and treatment plan history. Evaluate clinical status of the claimant and research alternative treatment options as warranted. Communicate with claims examiners regarding directives and provide updates on file status. Arrange transportation services when necessary and authorized. Evaluate therapy facilities and track progress on specific cases. Prepare comprehensive notes following discussions with injured workers, medical providers, claims examiners, and employers. Discuss the analyzed data and plan of care with the insurance representative prior to implementation. Upon authorization, implement the plan of care with the 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 needed. Coordinate information among all parties (injured worker, physicians, employer, other providers such as therapists, and attorney, if involved).

Requirements

Graduate of an accredited school of nursing. 3–5 years of 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. Possesses and can demonstrate the professional and technical skills of a Registered Nurse. Experience in case management; Workers' Compensation experience preferred but not required. Experience in Home Health Care or Occupational Health is a plus. Excellent written and oral communication skills. Excellent interpersonal and organizational skills. High comfort level with computers and relevant programs (MS Word, MS Excel, Email). #J-18808-Ljbffr Salary USD 35 - 42 per hour Apply To this Job

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