Medical Nurse Case Manager (RN)
On-site · Charleston, South Carolina, United States
Job Summary
The Medical Nurse Case Manager (RN) is responsible for the assessment, planning, coordination, implementation, and evaluation of care for injured or disabled individuals in the medical case management process. This includes using clinical skills to ensure quality care, educating individuals on treatment plans, coordinating assessments with healthcare providers, and monitoring progress in treatment programs. The position also involves liaising between parties such as employers and employees, maintaining detailed case documentation, attending to billing procedures, and staying updated on relevant laws and regulations. Required qualifications include a nursing license or certification and experience in clinical care, preferably within workers' compensation or case management.
Required Qualifications
- A current, unrestricted license or certification to practice a health or human services discipline in a state or territory of the United States
- In certain states, must have a baccalaureate or graduate degree in social work or another health or human services field
- Completion of a supervised field experience in case management, health, or behavioral health
- URAC-recognized certification in case management within four (4) years of hire
Desired Qualifications
- Masters level and/or advanced study in a health-related field
Additional Requirements
- Experience in rehabilitation services industry preferred
- Background in state workers' compensation law and practices desirable
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