What are the responsibilities and job description for the Medical Case Manager (Remote in Michigan) position at MEDLOGIX, LLC?
Job Description
Job Description
Job Title : Medical Case Manager
Location : Remote (must be in Michigan)
ReviewWorks founded in 1989 located in Northville, Michigan. Provides comprehensive Medical Review Services, Medical Case Management Services and Vocational Rehabilitation Services to customers that include self-insured entities, third party administrators and insurance carriers.
POSITION SUMMARY : The incumbent develops comprehensive rehab plans and initiates medical management rehabilitation efforts to maximize client recovery and return to gainful employment or independent status
ESSENTIAL FUNCTIONS :
- Manage a caseload of approximately 15-25 active clients
- Nurse Case Manager is responsible to generate :
- Full-time - 80 billable hours per pay period or a combination of approved nonbillable time plus billable hours to equal 80 hours
- Part-time – 40 billable hours per pay period or a combination of approved nonbillable time plus billable hours to equal 40 hours
- Develop and implement comprehensive rehabilitation plan by :
- Assessment : Process of collecting in-depth information about a person’s situation
- Planning : Process of determining specific objectives, goals, and actions designed to meet the client’s needs
- Implementation : Process of executing specific case management activities and / or interventions to accomplish the goals set forth in the case management plan
- Coordination : Process of organizing, securing, integrating, and modifying the resources necessary to accomplish the goals set forth in the case of the management plan
- Monitoring : Process of gathering sufficient information from all relevant sources about the case management plan to determine the plan’s effectiveness
- Evaluation : Process of determining the case management plan’s effectiveness in reaching desired outcomes and goals
- Timely comprehensive report and documentation of services provided
- Personal visits and local travel to clients, physicians, hospitals, agencies, schools and employers
- Perform other duties as assigned by Supervisor
PROFESSIONAL BACKGROUND :
Medical :
RN with current license
Five years of nursing minimum
Credentials :
CRRN or CCM preferred
Obtain CCM when eligible
Orthopedic and / or rehab experience preferred
SKILLS AND ABILITIES REQUIRED TO PERFORM ESSENTIAL FUNCTIONS :
PERSONAL CHARACTERISTICS :
Initiative, drive, creativity, and persistence, Good organizational skills, Highest professional skills
