RN -Telephonic Case Manager

Providing quality service and accurate results supports Ascential Care Partner’s primary mission as a trusted adviser to our clients. As a Telephonic Nurse Case Manager, you will be working in a fast-growing company and work environment. Your valuable role requires working closely with treating physicians/providers, employers, claim representatives, legal representatives, and the injured/ disabled person to create and implement safe and effective Return to Work plans, and facilitate appropriate and cost-effective medical services to achieve maximum medical improvement and recovery. As a member of our team, you will continue to reinforce Ascential’s mission of being a market leader and collaborative partner to current and prospective customers and partners.

Job Duties: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Case Management & Application of Knowledge: Demonstrate and apply knowledge of case management standards, injuries, medications, treatment options, and job duties to advise on and implement treatment plans Adhere to ethical guidelines and best practice standards, ensuring quality of care. Collaboration & Communication: Collaborate telephonically and in writing with claims representatives, employer when applicable, and healthcare providers to achieve optimal return to work and claim outcomes Facilitate telephonic and written communication and coordination with all appropriate parties Maintain regular, frequent telephonic and written contact with patients throughout the claim assignment Involve patients in decision-making and encourage their appropriate use of healthcare services to maximize health outcomes and maintain cost-effectiveness. Patient-Centered Care & Advocacy: Assess patient needs, provide support and advocacy, promote self-advocacy and self-determination Assist in safe transitioning of care, and resolve problems using multidisciplinary strategies, always prioritizing patient needs Documentation & Confidentiality: Maintain accurate documentation of case management services in client records Uphold patient confidentiality and adhere to HIPAA standards. Quality Assurance: Ensure quality of care by adhering to standards, measuring outcomes, making necessary adjustments, and following ethical guidelines. Reflect the company’s philosophy by demonstrating ardent customer service-related results. Professional Development: Maintain professional and industry knowledge through continuous learning, networking, and participation in professional activities. Maintain state license(s) and certifications required for this role. Workload Management: Manage assigned workload independently, prioritizing cases, evaluating progress, and modifying goals to improve treatment effectiveness and claim outcomes. Perform other duties as assigned Other Duties: Please note this TCM job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.