Spectrum Healthcare Services, a healthcare recruiting agency, is seeking a Registered Nurse to fill a Medical Case Manager position in Charlotte, NC. Work from home and on the road.

Job Summary

We are seeking an independent Registered Nurse to join our team as a Medical Case Manager. In this role, you will make a meaningful difference in the lives of injured workers and their families by facilitating their recovery journey. You will work collaboratively with patients, their families, medical providers, and our team to ensure optimal care and outcomes. This position combines remote work with significant local travel to meet the needs of your caseload within the Charlotte, NC area.

ESSENTIAL DUTIES & RESPONSIBILITIES:

• Comprehensive Case Management:
  Provide medical case management through in-person and telephonic communications with patients, physicians, healthcare providers, employers, and other stakeholders.
• Treatment Plan Evaluation:
  Utilize your medical and nursing expertise to discuss current treatment plans with physicians and explore alternative treatment options when necessary.
• Cost-Effective Care Coordination:
  Assess treatment plans for appropriateness, medical necessity, and cost-effectiveness, ensuring efficient use of resources.
• Care Planning and Implementation:
  Develop, implement, and evaluate individualized care plans, monitoring patient progress and adjusting plans as needed.
• Interdisciplinary Collaboration:
  Attend medical appointments, home visits, and, when appropriate, meetings with attorneys to gather information and support the development of effective long-term care strategies.
• Discharge Planning Participation:
  Participate in hospital and long-term care facility discharge planning conferences to determine the appropriateness of care and develop effective post-discharge strategies.
• Service Coordination:
  Negotiate and coordinate the delivery of durable medical equipment and nursing services to meet patient needs.
• Travel Requirements:
  This role requires regular local travel, approximately 60% of the workweek, to meet with injured workers and healthcare providers. Overnight travel may be required on occasion.

Position Details

Work Setting: Remote and on the road
Job Type: Direct Hire
Shift: Mon-Fri, regular business hours
Weekly Hours: 40
Pay Rate: $64K-$97K

• Education:
  Graduate of an accredited school of nursing.
• Licensure:
  Current Registered Nurse (RN) licensure in the state of North Carolina.
• Experience:
  A minimum of 2 years of clinical experience in a healthcare setting. Experience in workers’ compensation case management is preferred.
• Certifications:
  Certification as a Certified Case Manager (CCM), Certified Rehabilitation Registered Nurse (CRRN), or other relevant case management certifications are preferred.
• Licenses:
  A valid driver’s license and reliable transportation are required to travel to assigned locations.

Skills and Competencies:

• Communication:
  Strong verbal and written communication skills, with the ability to effectively interact with patients, healthcare providers, and other stakeholders.
• Clinical Knowledge:
  In-depth understanding of medical terminology, treatment protocols, and the workers’ compensation process.
• Organizational Skills:
  Excellent time management and organizational skills, with the ability to manage a caseload efficiently.
• Technical Proficiency:
  Proficient in using Microsoft Office Suite, including Excel, and other relevant software applications.
• Independent Work Ethic:
  Ability to work independently, demonstrating initiative and problem-solving skills in a remote work environment.
• Team Collaboration:
  Ability to work effectively within a team, collaborating with colleagues and other professionals to achieve optimal patient outcomes.