20 Medical Case Manager Jobs in Bethesda, MD
Cynet Systems is Hiring a Medical Case Manager Near Bethesda, MD
Pay Range $34hr - $39hr
Responsibilities:
- Responsible for coordinating the treatment pathways of those claims that meet the internal case management criteria, including setting the appropriate treatment plan and other activities that meet an injured worker's/employee's health and return-to-work needs or other productive activity.
- Understands and implements criteria for identifying individuals for case management services·
- Coordinates case management plans and activities with the human resources department of the injured worker/employee, as appropriate·
- Solicits the employee's interest and consent, if necessary, for participation in case management activities and documents oral and written consent·
- Documents a case management plan specific to the injured worker/employee that includes short and long term goals with timeframes, timeframes for re-evaluation, resources to be utilized, and collaborative approaches to be used (including physician participation)·
- Conducts and documents an assessment of each injured worker/employee including (as appropriate) health status, treatment plan, financial resources for health care, psychosocial status, consumer knowledge, education needs in relation to health status and treatment plan, past relevant history, and possible non-medical impediments to successful resolution ·
- Responsible for managing the disability duration of an injured worker/employee and focus on return to work opportunities or other productive activity, including working with medical providers to identify an estimated return to modified duty, vocational rehabilitation, release from care, or actual return-to-work date·
- Collaborates and clearly communicates with the injured worker/employee, family members, providers, employer, or the employer's representative in the execution of a plan for return-to-work or other productive activity. ·
- Identifies and obtains any required or outstanding medical documentation in support of the individual's plan for a return-to-work or other productive activity. ·
- Understands and implements criteria for discharge of injured worker/employee or termination of case management services·
- Promotes goodwill by assisting all involved parties on issues related to the injured worker/employee, provider relations, and OWCP coordination, as applicable. ·
- Identifies, evaluates, and recommends strategies for claims where vocational rehabilitation services may produce an eventual return-to-work; interfaces with vocational rehabilitation or other specialties as appropriate and applicable.
- Understands the organization's quality management program and the case manager's role within that program·
- Experience with Federal Employee Compensation Act (FECA) and FECA related issues preferable, as applicable for assigned account(s).
- Is an effective team member; supports the team by pitching in at any level and effectively working across the organization to meet the needs of the business.
- Takes ownership of personal actions and outcomes; encourages and empowers others to do the same·
- Embraces change; maintains an open mind and is flexible and adaptable in the face of ambiguity and change·
- Ability to work independently, multitask, and adjust priorities·
- Proactively seeks opportunities to increase knowledge, skills and abilities·
- May perform other duties, as needed, to meet the needs of the business .
- Bachelors in Science Nursing or Associate in Nursing (ASN) or Nursing Diploma.
- The Medical Case Manager role does require an active RN license in the state they live in.
- National certification in case management or related field preferred.
- Unrestricted Current State Registered Nurse License, We need to have a record of RN Licenses for all Medical Case Managers submitted with their new hire paperwork.
- 3 years of clinical experience as a Registered Nurse.
- 2 years experience in medical case management, discharge planning, utilization review/management to determine the necessity of medical services, occupational health, and comparable field.
- Experience in Behavioral Health Chronic Medical Conditions or Oncology preferred.
- Excellent verbal, written, and interpersonal communication skills, organizational and analytical skills.
- Superior customer service skills working proactively and collaboratively with client colleagues and client leaders, medical staff, and co-workers.
- Ability to effectively present information.
- Excellent team player; ability to partner with internal and external clients and other cross-functional departments.
- Superior writing and communication skills.
- Must write succinctly and clearly and explain complex situations in plain English to technical and non-technical audiences.
- Utilizes direct communication and proactive problem solving to address challenges and disagreements.
- Ability to apply logical thinking to a wide range of intellectual and practical problems.
- Able to deal with very difficult concepts and complex variables.
- Ability to comprehend, analyze, and interpret documents.
- Ability to solve problems involving several options in situations.
- Requires intermediate analytical and quantitative skills.
- Appreciate and comply with all confidentiality requirements.
- Be proficient in how to obtain and document an accurate medical history.
- Be skilled in developing treatment plans with realistic goals.
- Understand information systems and data management.
- Understand the physical and psychological characteristics of illness and be familiar with methods for assessing an individual's level of impairment.
- Be capable of assisting individuals with the development of short- and long-term goals for recovery.
- Be educated in current protocols and procedures for case management related to the WTC-NPN environment.
- Have an understanding and appreciation for nationally recognized standards of the case management process, particularly in regard to long-term medical conditions.
- Access and evaluate available resources and develop additional resources as the need arises.
- Maintain relationship with WTC-NPN team, including representatives of claims, call center, and network.
- Ability to travel on occasion.
- The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- While performing the duties of this job, the employee is regularly required to sit, talk, and hear.
- The employee frequently is required to use the fingers to make small movements such as typing, picking up small objects, or pinching fingers together The employee is occasionally required to walk; reach with hands and arms; stoop, kneel, crouch, or crawl.
- Sitting most of the time.
- Specific vision abilities required by this job include close vision, peripheral vision, depth perception, and the ability to adjust focus.
- The employee moves within the facility in which their office is located to access file cabinets, documents, office machinery, and other equipment.
- They also travel within their home office or facility in which their office is located and to locations outside of the facility, to attend meetings, training, events, and other business activities.
- Due to the nature of the job the candidate should be able to lift 10-20 pounds with assistance.
- The employee holding this position must have strong communication and organizational skills, and an ability to interact and work with others.
- They must be able to work under time constraints and deadlines.
Job Summary
Contractor
IT Outsourcing & Consulting
$96k-116k (estimate)
06/23/2024
12/16/2024
cynetsystems.com
ARCOLA, VA
500 - 1,000
2010
ASHWANI MAYUR
$50M - $200M
IT Outsourcing & Consulting
Related Companies
The job skills required for Medical Case Manager include Case Management, Coordination, Customer Service, Problem Solving, Confidentiality, Discharge Planning, etc. Having related job skills and expertise will give you an advantage when applying to be a Medical Case Manager. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Medical Case Manager. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Medical Case Manager positions, which can be used as a reference in future career path planning. As a Medical Case Manager, it can be promoted into senior positions as a Case Management Director that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Medical Case Manager. You can explore the career advancement for a Medical Case Manager below and select your interested title to get hiring information.
If you are interested in becoming a Medical Case Manager, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Medical Case Manager for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Medical Case Manager job description and responsibilities
Coordinating and providing care that is safe, timely, effective, efficient, equitable, and client-centered.
03/10/2022: Bangor, ME
Medical case managers are responsible in handling case assignments, draft service plans, review case progress and determine case closure.
03/20/2022: Mcallen, TX
A medical case manager connects a client to patient-centered services related to their treatment plans.
03/26/2022: Portsmouth, NH
They help patients make informed decisions by acting as their advocate regarding their clinical status and treatment options.
03/10/2022: Columbia, SC
Record cases information, complete accurately all necessary forms and produce statistical reports.
03/01/2022: Wichita Falls, TX
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Medical Case Manager jobs
There are many paths to becoming a case manager, with options to transition from other related healthcare professions, such as nursing and social work.
03/11/2022: Lincoln, NE
Most states require an official certification to work as a case manager.
04/14/2022: Carson City, NV
Patients can also trust case managers who show empathy.
04/06/2022: Rochester, NY
Certification determines that the case manager possesses the education, skills and experience required to render appropriate services based on sound principles of practice.
03/17/2022: Nashua, NH
Adhere to professional standards as outlined by protocols, rules and regulations.
04/09/2022: Burlington, VT
Step 3: View the best colleges and universities for Medical Case Manager.
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