Nurse Case Manager

ALLIED MANAGED CARE℠ is a medical cost containment services company that maximizes opportunities for controlling cost and reducing lost time by focusing on the specific needs and cost drivers of our Clients’ workers’ compensation program.

Do you have the skills, experience, desire, and drive to find solutions that would help meet our customers' needs? We thrive on teamwork and partnerships within and beyond the organization. We are experiencing tremendous growth at this time, in no small part due to the talent of our team. We look forward to reviewing your resume.

Primary Responsibilities:

• Make outbound calls to claimants and their providers to assess current health status and treatment needs
• Identify gaps in or barriers to treatment plans
• Coordinate care and discharge plans including Therapy, Diagnostic testing, Home Health, DME etc.
• Educate all parties on the nature of the injury, treatment needs and the worker’s compensation processes in regards to medical care.
• Communicate with employers/adjusters to determine job requirements of pre-injury occupation and to explore light-duty, modified, or alternate employment as necessary.
• Encourage claimants in their recovery and return to gainful employment
• Engaging with providers to identify potential abilities and facilitating release to return to work as applicable
• Analyze results of treatment, current medical status and reviews incoming provider reports.
• Generates correspondence to referral source, medical providers, injured worker and other parties involved in the rehabilitation process.
• Generate reports to referral source to communicate case status, findings, RN assessment and recommendations.
• Must maintain a case load to support a minimum billable requirement as well as meet Quality compliance criteria
• Document and track findings in multiple computer based systems.
• Adheres to confidentiality rules, HIPPA and PHI laws
• Applicability and utilization of return to work guidelines
• Capture and calculate hard cost savings
• Development of nursing assessments, goals, and action plans
• Skills and Abilities:

• Proficient in multi-tasking and prioritization of duties; time management

• Ability to work under daily pressure/timelines with heavy production expectations.
• Excellent verbal and communication skills
• Able to work with minimal supervision, and takes the initiative when appropriate
• Portrays a professional company image to customers, partners and co-workers
• Builds and fosters a strong working relationship with the team.

Required Qualifications: Current, unrestricted RN license in the state of Hawaii 2 years of acute care Case Manager experience preferred

• Ability to navigate a Windows environment, utilize Outlook and Microsoft Word proficiently.
• Strong organizational skills and multitasking abilities will be key to success Experience in utilization review, concurrent review and/or risk management
• Our benefits? Medical, Dental, Vision, LTD, Life, Voluntary Life, Flexible Spending Account, Vacation pay, Sick pay, Float day, 10 Holidays, Wellness program, and 401K! Plus the benefit of a growing company with strong values that loves to promote from within.

We are waiting to hear from you! We are an Equal Opportunity Employer.

Job Type: Full-time

Pay: $48.00 - $55.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Experience:

• Nursing: 1 year (Preferred)
• Case management: 1 year (Preferred)

License/Certification:

• RN (Preferred)

Location:

• Honolulu, HI (Required)

Willingness to travel:

• 50% (Preferred)

Work Location: Remote

Salary : $48 - $55