Job: Telephonic Nurse Case Manager (Onsite)

Location: Norcross, GA

About the Job

What We Do:

MCMC's success can be attributed to our diverse and talented work force. Our employees are the foundation of our business and are helping MCMC grow each year.

Because of our tremendous growth, we are always in search of outstanding individuals.

Telephonic Nurse Case Manager(Onsite)

Summary:

To provide telephonicmedical management for active workers’ compensation claims by assessing, planning, facilitating and advocating the health needs of an injured worker.

Responsibilities:

·         Assessment of the individual’s personal and medical history, current status, prognosis, current treatment plans and care provider's level of expertise.

·         Determine appropriateness of care, quality of care, and timeliness of testing.

·         Identify significant case activity to be reported to the client.

·         Identify and refers cases to the MCMC Review Physicians for review and peer contact with the treating provider, consistent with company and client guidelines.

·         Recognize and address medical and non-medical issues which may adversely impact employee recovery and case resolution.

·         Identify appropriate intervention, and alternate, cost effective treatment modalities in order to promote recovery and timely return to work.

·         Communicate with the treating provider regarding indications for potential treatment and diagnostic studies.

·         Support and assist injured workers to navigate through the complex array of health, rehabilitation, vocational training, mental health and substance abuse services and programs.

·         Serves as a liaison with the claims administration staff and treating provider staff to facilitate maximum benefit and promote recovery.

·         Ongoing promotion and maintenance of quality assurance standards from a Case Review/Case Management standpoint, as well as in the provision of customer service.

·         Work with Onsite Case Managers, as needed, to facilitate employee's maximal recovery, return to work, and timely case disposition and resolution.

·         Intervene promptly on significant cases with high dollar potential to coordinate care and appropriate referrals for the promotion of optimal treatment.

·         Identify any temporary or permanent alterations in function that have resulted from the current injury

·         Identify potential challenges or complications in physiological and/or psychosocial function.

·         Ensure that all documentation is current, timely, grammatically correct, consistent and appropriately reflects the sense of circumstances of the case.  Documentation must also adhere to company practices.

·         Participate in ongoing training meetings and inservices.

·         Identify and address medical and non-medical issues which may adversely impact employee recovery and case resolution.

Qualifications:

·         Ability to work independently, as well as cooperatively with others.

·         Experience dealing with multiple tasks, and problem solving under pressure.

·         Exposure to and familiarity with computer systems desired.

·         Exposure to and familiarity with state regulations governing work related injury claims administration, and with third party reimbursement, when applicable.

·         Strong interpersonal skills, including oral and written communications.

·         Maintenance of continuing education appropriate to case management, Workers' Compensation issues

·         Demonstrated accountability and skills in analysis, decision making and time management

·         Bilingual in English/Spanish is desired, but not required

Experience:

·         Registered Nurse, Current State Licensure.

·         Certified Case Manager (CCM) credentials

·         Minimum 3-5 years of acute clinical experience preferred

·         Must have strong background, consisting of three or more years of experience in Workers' Compensation injury management, from an Occupational Health, Utilization Review or Rehabilitation preferred.

Please send resumes to:

MCMC LLC

Attn: Human Resources

300 Crown Colony Drive, Suite 203

Quincy, MA 02169
Fax: 877-791-5970

E-mail: MA.HR@mcmcllc.com

An Equal Opportunity Employer

More Info and Application