Injury Management Organization, Inc.
Medical Field Case Manager
Injury Management Organization, Inc., San Antonio, Texas, United States, 78208
Independent Contractor (1099) - Medical Field Case Manager - Workers Compensation - Located in San Antonio, TX
This is an
IN muhimu
Case Manager role in the field. A wide variety of creativity Tener latitude is expected. The FCM carries an active caseload, represents IMO in a professional manner at all times to our clients and assigned injured employees, and attends file reviews as requested. Must reside in the San Antonio, TX area. Bilingual in Spanish and English required. Qualifications
RN preferred Bachelor’s Degree in nursing or related field preferred Must have certification in case management, i.e., CCM, CRN, CDMS, CRC, COHN 1099 Contractor Responsibilities
Acknowledgement of referral receipts to adjuster will occur within 24 hours of receipt for referrals received after hours or on Fridays; contact will occur within 24 hours of the next business day. Three‑point contacts with the injured employee, the employer, and the medical provider(s) will be made within 48 hours of receipt of referral. For referrals received after hours or on Fridays, contact will occur within 48 hours of the next business day. The Field Case Manager will provide the initial report to the IMO office within two (2) weeks of referral. This report will include action plan with projected length of time on file, projected RTW timeframe, updated medical information, and projected medical costs based on industry standard guidelines for diagnosis.ाड़स The Case Manager will update adjusters within 24 hours of each visit activity by utilizing the "IMO Email Update" report. FCM acts as a liaison for the injured employee and communicates with the client while maintaining a neutral position between all interested parties. They provide assistance to injured employees as needed with selection of treating physician from the Network provider list and assist injured worker and physicians આપે specialist referrals and ensure utilization of providers within the Network. It is important to maintain communication with employer, adjuster as needed for coordination of RTW (Return to Work) efforts and initiate required forms and letters of communication as indicated throughout the case management process. They utilize clinical/nursing skills to coordinate the individual's treatment program while maximizing cost containment and provide documentation in the IMO SmartCat Software, updating medical notes, medical status, and RTW status. Communication with claim examiners is critical, and it may be necessary to participate with file reviews to ensure that disputes or other non‑medical issues are addressed accordingly.
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IN muhimu
Case Manager role in the field. A wide variety of creativity Tener latitude is expected. The FCM carries an active caseload, represents IMO in a professional manner at all times to our clients and assigned injured employees, and attends file reviews as requested. Must reside in the San Antonio, TX area. Bilingual in Spanish and English required. Qualifications
RN preferred Bachelor’s Degree in nursing or related field preferred Must have certification in case management, i.e., CCM, CRN, CDMS, CRC, COHN 1099 Contractor Responsibilities
Acknowledgement of referral receipts to adjuster will occur within 24 hours of receipt for referrals received after hours or on Fridays; contact will occur within 24 hours of the next business day. Three‑point contacts with the injured employee, the employer, and the medical provider(s) will be made within 48 hours of receipt of referral. For referrals received after hours or on Fridays, contact will occur within 48 hours of the next business day. The Field Case Manager will provide the initial report to the IMO office within two (2) weeks of referral. This report will include action plan with projected length of time on file, projected RTW timeframe, updated medical information, and projected medical costs based on industry standard guidelines for diagnosis.ाड़स The Case Manager will update adjusters within 24 hours of each visit activity by utilizing the "IMO Email Update" report. FCM acts as a liaison for the injured employee and communicates with the client while maintaining a neutral position between all interested parties. They provide assistance to injured employees as needed with selection of treating physician from the Network provider list and assist injured worker and physicians આપે specialist referrals and ensure utilization of providers within the Network. It is important to maintain communication with employer, adjuster as needed for coordination of RTW (Return to Work) efforts and initiate required forms and letters of communication as indicated throughout the case management process. They utilize clinical/nursing skills to coordinate the individual's treatment program while maximizing cost containment and provide documentation in the IMO SmartCat Software, updating medical notes, medical status, and RTW status. Communication with claim examiners is critical, and it may be necessary to participate with file reviews to ensure that disputes or other non‑medical issues are addressed accordingly.
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