Field Nurse Case Manager (Auto Injury Case Management)
- Attend client appointments and meetings as needed; travel required within service area.
- Receive and process referrals from insurance companies, physicians, or direct clients.
- Create and maintain digital and physical case files, ensuring all information is organized and easily accessible.
- Maintain accurate and up-to-date case documentation for compliance and reporting purposes
- Assess medical, emotional, and rehabilitation needs of auto injury clients and coordinate necessary treatments (e.g., physical therapy, diagnostic tests, specialist consultations).
- Serve as the liaison between clients, physicians, therapists, and insurance carriers, ensuring clear communication and timely care.
- Track and monitor the progress of treatments, including medications, therapies, and medical appointments.
- Assist with coordinating medical supplies, home modifications, and rehabilitation equipment as necessary.
- Educate clients and their families about injury recovery, treatment options, and rehabilitation processes.
- Generate case progress reports for insurers or clients as requested, detailing medical care and rehabilitation milestones.
- Maintain accurate contact sheets and documentation for billing and reporting purposes.
- Utilize case management software to track client progress, follow-up tasks, and deadlines.
- Collaborate with insurance adjusters and other professionals to provide timely updates on client progress and assist in claims processing.
- Ensure compliance with workers’ compensation regulations, insurance guidelines, and internal company protocols.
- Assist with the review and approval of case documentation for billing and claims submission.
- Licensed Practical Nurse (LPN) or Registered Nurse (RN) license required (active in Michigan).
- Minimum of 3 years of clinical nursing experience, preferably in case management or rehabilitation services. • Strong organizational skills with the ability to manage multiple cases effectively.
- Proficient in medical documentation, electronic health records (EHR), and case management software.
- Knowledge of auto injury recovery processes and insurance systems.
- Excellent communication and interpersonal skills, with a compassionate approach to patient care.
- Certified Case Manager (CCM)
- Certified Rehabilitation Registered Nurse (CRRN)
- Certified Life Care Planner (CLCP)
- Certified Legal Nurse Consultant (CLNC)
- Certified Brain Injury Specialist (CBIS)
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