Logo for RAS

RN Telephonic Case Manager

Role overview

Summary

This role focuses on coordinating care for injured workers to facilitate their recovery and return to work. You will work with various parties to ensure effective healthcare delivery while monitoring treatment plans and outcomes. OHARA, LLC emphasizes an inclusive environment for its employees.

Qualifications

  • Current RN license in SD or compact nursing licensure state.
  • Minimum of two years clinical practice experience.
  • Associates degree required; bachelor’s degree preferred.
  • Proficient in Microsoft Word, Excel and Outlook.
  • Preferred: CCM designation or applicable certification preferred; willingness to obtain CCM designation within three years of employment is required.

Responsibilities

  • Coordinate services to assist injured workers in reaching pre-injury status.
  • Facilitate prompt delivery of quality, cost-effective health care to injured workers.
  • Determine medical necessity and appropriateness of treatment plans.
  • Coordinate medical care to assess if desired outcomes and goals are being met.

Key facts

Hard skills

Other skills

  • Microsoft Word
  • Microsoft Excel
  • Microsoft Outlook
  • Communication
  • Teamwork

About the company

RAS logo

RAS

  • Insurance
  • 51–200
RAS (Risk Administration Services, Inc.), RATED A by A.M. BEST, was launched in 1989 – small, focused, and determined. In our 35+-year history, we’ve soared to great heights, reimagined ourselves, and gained a profound awareness of the value we bring as experienced workers’ compensation insurance providers. Today our reputation has grown as the region’s leading workers’ compensation insurance writer. While our product is insurance, what we truly sell is safer workplaces, help for companies looking to protect their employees, and support for people at their most vulnerable. We’re more than a workers’ compensation insurance policy provider. We’re a proactive partner in driving injury prevention. We can improve employers' work comp costs in various ways including: Stay at Work/Return to Work Program Development Loss Prevention and Training Cost Containment Services Online Employer Resource Manager Local Claim Management and Case Management

Your match analysis

See how your profile stacks up against this role.

We compared the job requirements to your profile to show where you're strong and where you fall short.

Job description

As a Telephonic Nurse Case Manager, you will be responsible for coordinating services to assist injured workers to reach pre-injury status. You will work closely with the multiple parties to facilitate prompt delivery of quality, cost-effective health care to the injured worker while coordinating a plan for the earliest opportunity for a safe return to work.

You will determine medical necessity and appropriateness of treatment plan and coordinate medical care to determine if the injured worker is obtaining the desired outcomes and goals established within the individualized treatment plan.

This is a work-from-home position, but successful applicants must reside in the Sioux Falls, SD or surrounding area.

JOB REQUIREMENTS

  • Must have a current RN license in SD or compact nursing licensure state
  • Minimum of two years clinical practice experience is required
  • CCM designation or applicable certification is preferred; willingness to obtain CCM designation within three years of employment is required
  • Previous experience with occupational medicine/orthopedic/neurology is preferred
  • Associates degree required; bachelor’s degree preferred
  • Must be proficient in Microsoft Word, Excel and Outlook

Applicants must also be able to be on call approximately 3 weeks out of the year.  This is a full-time position (Mon-Fri) with a daytime schedule, no nights, weekends or holidays (with the exception of a telephonic on-call as indicated).

BENEFITS

We offer a competitive wage and benefits package including medical, dental and vision coverage, paid holidays, PTO, and 401k.

At OHARA, LLC, we believe in an inclusive work environment, where employees are welcomed, valued, respected, and heard to ensure that individuals bring their best selves to work. OHARA, LLC provides equal opportunities to all qualified candidates without regard to race, color, religion, sexual orientation, gender identity or expression, age, disability status, veteran status, national origin, or any other status protected under federal, state or local law.

Related jobs

See all Case Manager jobs

Other jobs at RAS