Rising Medical Solutions

Contract Workers Compensation Field Case Management - Hybrid

Rising Medical Solutions  •  Los Angeles, CA (Hybrid)  •  5 months ago
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Job Description

Join Our Team as an Experienced Workers Compensation Case Manager

Advance Your Career with Rising Medical Solutions

Are you an experienced workers’ compensation nurse case manager eager to bring your expertise to a team that’s passionate about making a genuine impact on the lives of injured workers? At Rising Medical Solutions, you’ll join a group of dedicated professionals committed to elevating the standards of medical case management for workplace injuries and find a collaborative environment where your prior experience is valued, and your skills are essential to our mission.

At Rising Medical Solutions, your prior expertise will be vital as you:

  • Collaborate with injured employees, employers, healthcare providers, workers’ compensation adjusters, and fellow team members to continuously evaluate and enhance treatment plans.
  • Draw upon your comprehensive experience to identify and overcome barriers in the recovery process, advocating for the best possible outcomes for all stakeholders.
  • Confidently guide cases by facilitating preferred provider selections and ensuring compliance with best practices in workers compensation management.

We are searching for a case manager with a proven background in workers compensation—someone who is assertive, resourceful, and committed to driving positive change. If you are ready to make an even greater impact, we encourage you to bring your expertise to Rising Medical Solutions and help us shape the future of workplace injury management.

Together, we can make every step of the recovery journey count.

Requirements

  • Candidates will have a strong background in at least one of the following specialties: industrial rehabilitation nursing, medical case management, occupational health, orthopedics, home health care, utilization review, or quality assurance
  • Familiarity with regional physicians
  • CCM, and COHN-S/CM are optional but highly valued
  • Ability to drive to appointments within a 2-hour radius
  • Active, unencumbered registered nursing license with a minimum of 5 years' experience

Benefits

Rising Medical Solutions

About Rising Medical Solutions

Rising Medical Solutions is a national managed care firm that provides medical cost containment and medical care management services to the workers'​ compensation, auto, liability, and group health markets. Our client base includes insurance carriers, TPAs, self-insured employers, and public-sector and government entities of varying sizes from small to large tier.

Since 1999, our managed care services have positively impacted hundreds of thousands of employee lives and saved billions in total claim costs for payers across the country. Our flagship bill review service and technologies consistently deliver over 60% in national bill review savings, which includes application of fee schedule/UCR rates, network discounts, nurse audits, provider negotiations, and embedded fraud detection capabilities.

However, our solutions portfolio goes far beyond the standard repricing of medical bills. Our integrated programs deliver clinical and cost-saving expertise before, during, and after treatment. Our proprietary VISION™ platform is the industry’s only multi-product, multi-line, single-sign-on, medical management enterprise system. VISION™ provides claims professionals with unprecedented ancillary referral and medical management capabilities across the entire medical care continuum, from early intervention to payment processing. Together with our passionate, mission-driven employees, Rising delivers an unparalleled user experience for those providing, receiving, and paying for medical care.

Rising also directs and publishes the annual Workers’ Compensation Benchmarking Study, a national research program examining the complex forces impacting claims management in workers’ compensation today. The study has become one of the most cited research publications in the industry and has been the subject of numerous articles, webinars, and conference presentations since its 2013 inception.

Industry
Finance & Insurance
Company Size
51-200 employees
Headquarters
Chicago, IL
Year Founded
1999
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