Offer summary

Qualifications:

Registered Nurse (RN) with a current license and a minimum of five years of nursing experience., Experience as a Rehabilitation Case Manager in the Private Sector, particularly with Workers' Compensation and Auto No-Fault cases., Preferred credentials include CRRN or CCM, with a goal to obtain CCM when eligible., Knowledge of Microsoft Office and strong written and telephone communication skills..

Key responsibilities:

Manage a caseload of 15-25 active clients, ensuring timely and comprehensive documentation of services provided.

Develop and implement comprehensive rehabilitation plans through assessment, planning, implementation, coordination, monitoring, and evaluation.

Conduct personal visits and local travel to clients, healthcare providers, and other relevant stakeholders.

Generate required billable hours per pay period, either full-time or part-time, while balancing nonbillable activities.

Job description

TITLE: Nurse Case Manager

TYPE:

Part-time or Full-time

Remote – must be in Michigan

Looking to cover the following area – Mt. Pleasant, MI and surrounding counties

COMPANY SUMMARY: 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, employers, etc

PROFESSIONAL BACKGROUND:

Experience as a professional Rehabilitation Case Manager in the Private Sector with a full-time caseload of WC and Auto No-Fault recipients or related experience

Extensive knowledge of Michigan Worker’s Compensation and Auto No-Fault Insurance coverage

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:

PC skills – Required

Knowledge of Microsoft Office, Lotus Notes, Advocate – Helpful

Ability to drive a distance of 100 miles one way – Required

Ability to drive a distance of 300 miles one way – Occasionally

Written communication skills