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Part Time - Field Case Manager-Medical
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | southfield, Michigan |
About this job
Coventry Workers' Comp Services offers workers' compensation cost and care management solutions for employers, insurance carriers, and third-party administrators. In this role candidates will be traveling 50-75% of the time in their local markets.
POSITION SUMMARY
Work based from home, facilitate client participation in treatment plans towards full rehabilitation including regular contact with client and providers; as well as coordination and attend appointments with client and providers. Problem solve clinical issues and document progress
Fundamental Components
Excellent Communication Skills
- Able to Multi-task
- Experience problem solving clinical issues
- Organized, able to coordinate schedule
- Have a reliable car and be willing to travel 100 - 150 miles per day, 5 days per week
- Have a secure workspace at home to work uninterrupted
- Able to work early morning or late evenings as needed
- Strong technology skills including keyboarding, use of MS Office, and smartphones
50% of time spent traveling and attending appointments with clients and medical providers to review medical status and ensure provider is following clinical protocols per the diagnosis. 25% of time spent arranging, facilitating and confirming client participation in appropriate treatment plan. 25% of time spent documenting activities and making recommendations
BACKGROUND/EXPERIENCE desired
Must have valid State of MI Registered Nurse license and be in good standing.
- Certified Case Manager preferred but not required.
- Field Case Management experience or Home Health Care Experience preferred.
- Experience with Customer Service
EDUCATION
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience
LICENSES AND CERTIFICATIONS
Nursing/Registered Nurse is desired
Nursing/Certified Case Manager (CCM) is desired
FUNCTIONAL EXPERIENCES
Functional - Nursing/Case Management/1-3 Years
Functional - Nursing/Home Health Care Ambulatory Nursing/1-3 Years
TECHNOLOGY EXPERIENCES
Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User
Technical - Desktop Tools/Microsoft Word/1-3 Years/End User
Technical - Telecommunications/Wireless Technologies/1-3 Years/End User
ADDITIONAL JOB INFORMATION
Able to work independently, flexible work hours, and every day is different from the previous. Able to use clinical skills in field setting, travel and meet new people and providers.
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.
We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.
Together we will empower people to live healthier lives.
Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.
We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.
Employment Type Regular Career Band Description Professional
POSITION SUMMARY
Work based from home, facilitate client participation in treatment plans towards full rehabilitation including regular contact with client and providers; as well as coordination and attend appointments with client and providers. Problem solve clinical issues and document progress
Fundamental Components
Excellent Communication Skills
- Able to Multi-task
- Experience problem solving clinical issues
- Organized, able to coordinate schedule
- Have a reliable car and be willing to travel 100 - 150 miles per day, 5 days per week
- Have a secure workspace at home to work uninterrupted
- Able to work early morning or late evenings as needed
- Strong technology skills including keyboarding, use of MS Office, and smartphones
50% of time spent traveling and attending appointments with clients and medical providers to review medical status and ensure provider is following clinical protocols per the diagnosis. 25% of time spent arranging, facilitating and confirming client participation in appropriate treatment plan. 25% of time spent documenting activities and making recommendations
BACKGROUND/EXPERIENCE desired
Must have valid State of MI Registered Nurse license and be in good standing.
- Certified Case Manager preferred but not required.
- Field Case Management experience or Home Health Care Experience preferred.
- Experience with Customer Service
EDUCATION
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience
LICENSES AND CERTIFICATIONS
Nursing/Registered Nurse is desired
Nursing/Certified Case Manager (CCM) is desired
FUNCTIONAL EXPERIENCES
Functional - Nursing/Case Management/1-3 Years
Functional - Nursing/Home Health Care Ambulatory Nursing/1-3 Years
TECHNOLOGY EXPERIENCES
Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User
Technical - Desktop Tools/Microsoft Word/1-3 Years/End User
Technical - Telecommunications/Wireless Technologies/1-3 Years/End User
ADDITIONAL JOB INFORMATION
Able to work independently, flexible work hours, and every day is different from the previous. Able to use clinical skills in field setting, travel and meet new people and providers.
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.
We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.
Together we will empower people to live healthier lives.
Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.
We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.
Employment Type Regular Career Band Description Professional
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