RN Field Case Manager - 247105 New

About the Company

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. With over 20 years of experience connecting organizations with highly qualified professionals, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. Through our core purpose of positively impacting lives, we’re committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

About the Role

Our client is looking to hire a Field Case Manager to oversee and coordinate medical care for individuals injured in auto accidents under no-fault insurance laws. This field-based role requires visiting patients at appointments, long-term acute care/specialized nursing facilities, homes, and documenting on the go. The role aims to ensure patients receive necessary and covered medical care under insurance guidelines.

Responsibilities

• Coordinate treatment between doctors, therapists, and other healthcare providers.
• Monitor the progress of patient recovery.
• Ensure patients receive medical care deemed necessary and covered under insurance policies.
• Communicate effectively with insurance companies, adjusters, and attorneys.
• Assist patients in returning to work or adjusting to disabilities when necessary.

Qualifications

• Registered Nurse with case management experience.
• Experience with no-fault auto insurance and/or workers' compensation case management.
• Ability to document and manage cases remotely when not visiting patients.

Required Skills

• Strong communication and coordination skills with healthcare providers.
• Ability to advocate for patients in disputes with insurance providers.
• Proficient in managing and documenting patient care on the go.

Benefits include:

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

Equal Opportunity Statement

Medix is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or veteran status. We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients. As a job position within our Care Management division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, access and handling of patient medical records, providing medical care inside a patient’s residential address, driving, prescription and other drug access and administration, and working with vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.