What are the responsibilities and job description for the Telephonic Case Manager position at Medlogix?
Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients' needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers' compensation insurance carriers; third party administrators (TPAs); and government entities we serve.
OVERVIEW:
The Telephonic Nurse Case Manager is a work from home in New Jersey working with people injured on-the-job and coordinating their care with health care providers and insurance carriers. Earn a competitive salary and excellent benefit package, including a specialized incentive plan for full-time staff. The ideal candidate is detail-oriented with Case Management experience preferably Workers' compensation in NJ (CCM and/or CRRN preferred) and strong interpersonal skills. Candidates should understand the medical management of a workers' compensation and health insurance claims. They should also have knowledge of the hospital setting, including familiarity with hospital administration.
ESSENTIAL JOB FUNCITONS:
- Knowledge of medical management related to Worker's Compensation, especially NJ.
- Workers' Compensation regulations and Health claims.
- Knowledge of hospital setting and administration.
- Knowledge of Microsoft Office Suite programs.
- Knowledge of principles and processes for providing customer and personal services, to include customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
- Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
KNOWLEDGE:
- Medical management related to Worker's Compensation, Auto and Health claims.
- Hospital setting and administration.
- Microsoft Office Suite programs.
- Principles and processes for providing customer and personal services, to include customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
- Structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
SKILLS:
- Strong interpersonal skills, communication and presentation skills required.
- Must be detail oriented.
- Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
- Must be able to operate a motor vehicle.
- Bilingual a plus.
REQUIREMENTS:
- Case Management experience (2-5 years) experience
- ER/Rehab/Home Health nursing a plus
- Nursing - 3 years
- Must be detail oriented
- Good communication skills
REQUIRED EDUCATION:
- Graduate of an accredited school of nursing: Associates Degree or BSN preferred.
EEOC STATEMENT:
Medlogix is an Equal Opportunity Employer. Medlogix does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability, national origin, veteran status or any other basis covered by appropriate law. We will continue to maintain our commitment to making all employment-related decisions based on the merit of each individual.