EK Health Services, Inc. –Telephonic Case Manager A Telephonic Case Manager is responsible for providing telephonic medical case management for Worker’s Compensation and Liability Injury Management programs. An intervention backed by research, proven by results Not every claim needs a nurse case manager. View job description, responsibilities and qualifications. Our Telephonic Case Management service accurately identifies the appropriate medical intervention, manages cost and effective treatment, and returns the injured employee to work at the earliest opportunity. © Return To Work Matters Pty Ltd, ABN 34 205 063 028, All rights reserved. BENEFITS OF TELEPHONIC CASE MANAGEMENT: Allows a nurse to efficiently manage multiple files for injured workers from any location in the United States. The case manager obtains information such as health status, past medical history, diagnosis Browse 194,462 REMOTE TELEPHONIC NURSE CASE MANAGER Jobs ($61K-$95K) hiring now from companies with openings. They notify all appropriate parties, monitor progress and provide weekly reports. Depending on the setting, another type of professional may provide case management services. client, and each case manager will develop his or her own personal style of performing those skills. Great insights on telephonic case management from a true expert. Telephonic case management isn’t intended to replace face-to-face contact. I do telephonic case management in Las Vegas for an MCO and I'm anything but bored! Focus on medical appropriateness of care to injured worker with cost savings by coordination and utilization of all services, ensuring that as, soon as medically feasible, return-to-work status is achieved along with increase in productivity. Our field case managers coordinate provider visits, as well as ensure the proper level and quality of treatment is delivered so the injured person returns to work as safely and quickly as possible. Telephonic case management has the potential to allow targeted delivery of the right support, to the right people, at the right time. Welcome to the Anthem Careers site! And learning some simple rules for effective telephone communication will make you a more effective case manager. We coordinate with the employee, employer, and healthcare provider to get employees to work as quickly and safely as possible. Our dedicated Case Managers do this by assessing the individual’s recovery status with the help of specialist clinicians and detailed reporting to build an accurate picture of their progression and current state. Case managers telephonic assessment and coordination are (more or less) divergent than an acute care and long- term management assessments and coordination. Minimize Close. Provide telephonic case-management in a Workers’ Compensation environment. Telephonic case manager Interview Questions. ), and motions that occur before a trial is held or a decision is rendered. How Telephonic Case Management Works Following an Immediate Needs Assessment, the most appropriate treatment pathway is chosen. He was concerned I would not like the position because it was a teaching job more than a case management job. In this interview Mrs. Mettina Carroll, who is a telephonic case manager for a global health insurance company, shares from her wealth of experience on the use of technology in healthcare. Nurses (must develop new skills that require them to be flexible as they now have to ) go from seeing patients and assess ing the patient from head to toe in person and to refining their acute care skills to … They are supported by on-site physician advisors who handle complex cases and peer negotiation. A successful example of an E-Intelemed - Telephonic Case Management Model with the City of Houston (COH) where an early intervention case management model was developed to ensure that employees could return to work within the Maximum/Optimum return-to-work dates based on the evidence-based guidelines, the Medical Disability Advisor Guidelines. case management model and deliver even stronger results for employers, providers and patients. It is now easier to find and apply for relevant jobs as well as stay connected with Anthem. Upon notification of illness or injury, a telephonic case manager will immediately begin managing the claim. Telephonic case managers handle short-term and long-term disabilities. Telephonic Nurse Case Manager - New York/New Jersey. 14 days ago. Paradigm Management Services L. Remote. “Telephonic Case Management is an early intervention program that is most effective when used at the onset of in- jury, within the first 90 days,” said Helene Glazer, Telephonic Case Management Account Lead at GENEX. Easy 1-Click Apply (A-LINE STAFFING SOLUTIONS) Telephonic Nurse Case Manager RN job in Los Angeles, CA. Some case management skills are learned informally through life experiences while others are learned theoretically and developed through formal training. Now you can influence medical care, claims costs, return-to-work outcomes, and employee satisfaction at the earliest, most critical point. When an employee is injured, you need expedited and safe return to work while decreasing medical, indemnity, disability, and litigation costs. In addition to onsite case management, you can leverage national telephonic case management, recorded statements, and translations for non-English-speaking claimants. ", Webinar recording: Recovery Blueprint: helping case managers help injured workers, Comcare webinar recording: COVID-19, our work, mental health and wellbeing, Comcare LMS: Transitioning to the usual workplace as COVID-19 restrictions ease, Comcare webinar recording: Accelerated workplace change in the face of COVID-19, Patient resources: Diet and musculoskeletal conditions. Find jobs for telephonic case manager. Telephonic Nurse Case Manager - New York/New Jersey. The highest face-to-face contacts were found in programs where case managers have between 120 and 174 weekly cases. We are NCQA certified and are required to follow their guidelines. Both Kingstree 24 and Bridge Assessment identify the issues and our case management division establishes the plan to resolve them, expertly and seamlessly. These are usually in provider settings with short-term cases that require more immediate and defined tasks, such as in hospital or clinic settings, rather than in long-term, complex, telephonic case management programs. Home healthcare providers may even have a telephonic component in addition to services delivered in person. "The first step is to realize the impact your own personality and experiences have on how you … Case management in legal terms refers to the schedule of proceedings involved in a matter. case management and earlier claim closure. We have been hard at work to improve our job search and application systems to better serve you. Together, we will begin to build a workers' comp program to meet your company’s unique needs. Our Telephonic Case Management service accurately identifies the appropriate medical intervention, manages cost and effective treatment, and returns the injured employee to work at the earliest opportunity. Our telephonic case managers meet state-by-state jurisdictional regulations for utilization review so you don’t need to worry about regulatory fees and fines. Rather, it should be seen as a combination of triage, therap... Bad reassurance: "You’re fine! Our telephonic Nurse Case Managers are able to provide these comprehensive services to all of our clients, while reducing both down time and costs during the claim. BENEFITS OF TELEPHONIC CASE MANAGEMENT: Allows a nurse to efficiently manage multiple files for injured workers from any location in the United States. Telephonic Case Management When an employee is injured, you need expedited and safe return to work while decreasing medical, indemnity, disability, and litigation costs. To help lower your total cost of risk and return injured workers to work as quickly as possible, we offer a FREE consultation with a workers’ comp expert. As shown in the following graphic recently published by the Healthcare Intelligence Network, it has become common practice to use “case load” as a metric for the productivity of nurses in case management programs or as a measure of the intensity of a case management intervention. It is intended as a complimentary approach to treating common musculoskeletal disorders and mental health conditions, alongside standard clinical healthcare. Case Management is a collaborative process to promote quality cost effective outcomes, which enhance the physical, ©2021 Genex Services, LLC | Minnesota Rehabilitation Services | Genex of Canada | Privacy | Terms & Conditions | Contact Us. Telephonic case management isn’t intended to replace face-to-face contact. Not every worker’s injury warrants a trip to the ER, but without medical expertise, it’s natural for supervisors to err on the side of caution. Telephonic Case Management (TCM) provides benefits relative to cost-effective early intervention, removal of geographic restrictions, and reduced travel and wait time costs. In addition to a set of skills, the case manager Search Now. This process also assists in facilitating an appropriate and timely resolution of the … An assessment is completed during the initial contact with the employee. Mrs. Carroll covers how using technology for accessing resources and communication allows her to effectively connect … ReviewWorks Telephonic Case Management (TCM) Program is provided by experienced Rehabilitation Nurses available telephonically for claimants that need medical follow-up but do not need face to face contact. This promotes optimal patient outcomes, reduces period of disability and assures high quality of care while controlling costs. See if you qualify! Telephonic case management is the systematic evaluation of medical services, procedures, facilities for medical necessity, appropriateness and efficiency. More broadly, case load has been used for these purposes across many wellness and care management … Telephonic Case Management (TCM) provides benefits relative to cost-effective early intervention, removal of geographic restrictions, and reduced travel and wait time costs. There can be a telephonic case management component within acute-care settings, including discharge planning and social work referral. "Telephonic" Nurse Case Manager I/II/Sr in , NJ - Anthem. My case load is now in the 80's and I'm busy all day long. Some will be easier to master than others. 25. telephonic case manager interview questions shared by candidates. ADVOCACY BASED MODEL Kingstree strikes the perfect balance between the injured worker and the program stakeholder. Throughout the claim and across your program, we collect claims data and benchmark against industry guidelines and norms to identify areas for program fine-tuning and improvement. Paradigm Management Services L. Remote. Challenge: How do we build connectivity between case managers, patients ... Telephonic Case managers establish communication within 24 hours of discharge, prepare for follow-up appointments and faciliate post-discharge services. Case management is often done by nurses, but not always. Workers’ Compensation Telephonic Case Management (TCM) utilizes an experienced Medical Case Manager to assist the claims professional with assuring appropriate, goal-directed, timely managed care services, medical treatment and facilitation of a consistent, progressive return to work. Find your next job near you & 1-Click Apply! This individual is responsible for telephonic case management of work related injuries which includes assessment, planning, coordination, implementation and…. There are various stages in litigation, such as the filing of a complaint, answers, the discovery process (interrogatories, subpoenae, depostions, etc. Genex’s 24/7 Nurse Triage Hotline provides medical expertise at the time of injury, so injured employees are channeled to the most appropriate and cost-effective level of care. 1 Answer. The telephonic case manager makes the initial contact with the treating physician, employer, claims examiner and injured employee. Field and Telephonic Case Management. Using their clinical expertise in conjunction with evidence-based guidelines, they make recommendations for safe and effective return to work. Carolina Case Management offers a wide variety of services including medical case management, volitional case management, telephonic case management, and specialized management services. Don’t worry! This individual is responsible for telephonic case management of work related injuries which includes assessment, planning, coordination, implementation and…. When you call a patient, you must ensure you have the correct person … Telephonic Case Management Delivering employee-centric, clinical guidance to improve financial and functional health results. It is intended as a complimentary approach to treating common musculoskeletal disorders and mental health conditions, alongside standard clinical healthcare. Telephonic case management and other telehealth services are often used in managing workers' compensation cases, particularly after the first few weeks of in-person visits when follow-up by phone can be time-efficient and cost-effective (Mann, 2017). Protect Confidentiality. One of the major benefits of telephonic case management is the removal of geographic limitations. Here are a few of the updates you may notice: Telephonic case management has the potential to allow targeted delivery of the right support, to the right people, at the right time. For example, the person providing case management services in a substance abuse rehab facility might have a background in substance abuse counseling. Whether it's the way you establish your initial client contact or it's your only form of client interaction, the telephone is part of your case management tool chest.
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