ON-SITE NURSE/ RN Telephonic Case Manager - Minneapolis, MN

Concentra is the nation's largest provider of occupational medicine in the United States, operating in every state as well as Canada and Puerto Rico. Our goal is to provide quality service, resulting in superior outcomes for our patients and customers.

We are uniquely qualified to work in every stage of occupational healthcare from
pre-injury services to managing a difficult case through to successful resolution. We hire people who are the best in their field--people who share our passion! Initiative is encouraged and creativity is rewarded; therefore, our employees love what they do and it shows in the quality of service we deliver.

Concentra is an equal opportunity employer.

The on-site Telephonic Case Manager assesses, plans, implements, coordinates, reassesses, evaluates and impliments the medical and disability needs of the injured associate ensuring the timely coordination of quality healthcare services to meet an individual's specific health care needs in a cost effective manner and facilitating an appropriate and timely return-to-work.

MAJOR DUTIES AND RESPONSIBILITIES:
' Works telephonically with associates, Corporate Claims Manager, providers and claim handlers to coordinate and assure proper delivery and oversight of medical and disability services.
' Assists the injured associate by providing medical and disability education and coordinates on-site job analysis, work conditioning, functional capacities, and ergonomic evaluations when appropriate.
' Negotiates and assists the store or distribution center with the development of transitional sedentary or modified job duties based on the injured patients' functional capacity to a safe and timely return-to-work.
' Evaluates and coordinates medical and rehabilitative services using cost containment strategies.
' Develops and promotes a cooperative partnership with all parties.
' Presents a courteous, helpful, professional manner to all callers.
' Demonstrates effective time management skills by managing number of activities consistent with departmental policies.
' Communicates to Corporate Claims Manager when it appears that communications will not be completed within specific time frames or for other issues, cases that require supervisory advice/decisions.
' Adheres to all appropriate privacy, security, and confidentiality policies and procedures
' Actively participates as a contributing team member as demonstrated by attitude, cooperation, shared problem solving and participation in projects.
' Tracking and logging via Excel all associates currently on a light duty restriction.
' Tracking via dry erase board of all associates on full off work status for closer monitoring. If associate is off work should receive weekly contact until such a time as return to work is possible.
' Tracking of all Pharmacy fill errors via excel.
' Review medical portion of general liability and auto claims as requested by Corporate Claims Manager.
SPECIFIC JOB DUTIES
' Within 24 hours of obtaining knowledge of the injury: Contact injured or ill associate to gather relevant data and information by conducting clinical interviews with the injured associate, the provider(s), and the store or distribution center and coordinate communication between all involved parties.
' Assesses and identifies barriers to recovery; determines goals, objectives, and potential alternatives to care.
' Plans a proactive course of action to address issues presented and enhances the associates short and long term outcomes.
' Assess, implement and facilitates a smooth, safe and successful return to work.
' Facilitates and promotes timely and effective communication between all parties involved.
' Works as an advocate to promote the associate's best interest, addressing treatment alternatives; coordination of quality, cost effective health care and rehabilitative services; and appropriate and timely return-to-work.
' Assists the associate to achieve an optimal level of wellness and functioning, enhances the injured associate's productivity during recuperation, and maintains the cost effectiveness of health care and expenditures of healthcare dollars.
' Maintain listing of providers, contacts within the store/distribution sites.
' Obtains all medical records from Sedgwick system or Claims Handler to facilitate/implement case management.
' Obtaining and maintaining applicable designations, these designations are required where dictated by state regulations.
' Reports and implements file staffing with Corporate Claims Manager.
' Enters documentation into each case file in a timely, detailed and professional manner.
' Other duties as assigned.


Concentra is an equal opportunity employer

EDUCATION/CREDENTIALS:
' RN
' BSN or BAN preferred
' Orthopedic, neurological or intensive care experience a plus
' Previous workers' compensation, case management, utilization review and/or managed care experience preferred
' CCM, CRRN, COHN, or CDMS eligibility or current certification optimal

JOB RELAVENT EXPERIENCE:
' 3 or more years of general clinical experience

JOB-RELATED SKILLS/COMPETENCIES:
' Effective Communication skills: written, verbal, telephonic, computer
' Excellent customer service skills in a high demand telephonic business environment
' Strong problem solving skills and ability to perform critical analysis
' Effective time management and organizational skills
' Flexibility with a changing environment
' Working knowledge of the Cost of Medical Care
' Ability to perform multiple tasks simultaneously
' Ability to work independently
' Typing proficiency at a minimum of 30 WPM
' Proficient with Basic Windows PC environment and general computer skills
' Attention to detail/accuracy and a commitment to excellence


__________________________________________________________________