Job Description

A case manager with a background in rehabilitation, preferably with an advanced degree such as master's or an undergraduate degree in similar field, with a national certification such as CDMS or CRC, who assesses pertinent medical information regarding the Injured Worker. This is inclusive, but not limited to educational level, prior work history, current medical restrictions or work capabilities and any socio-economic factors that could impact gainful return to work with either the pre-injury employer or a new employer. The VCM must be well versed in the state regulations and expectations and tailor the service to meet the juris requirements, while facilitating communication between the injured worker, the Insured, and the Carrier for a successful rehabilitation outcome and work re-entry.

Provides efficient, cost-effective communication relative to specific, individualized work injuries, motor vehicle accidents, liability claims, long and short-term disability claims or other specialized services requested by the referral sources in a systematic manner.

Key Responsibilities

• Follow all policies and procedures as outlined in the case management plan.
• Retain accountability for the CM plan and process
• Accept all referrals as assigned.
• Confirm assignment with referral source and clarify special handling instructions.
• Initial contacts made according to the case management plan
• Develop an appropriate working relationship with Clients.
• Maintain integrity and deal with claimants in a dignified manner
• Schedule initial assessment and obtain necessary approvals from any attorney of record.
• Maintain ongoing communication with Injured Worker, Insured and Carrier.
• Record appropriate data and billing in the CaseAnyplace system for reporting.
• Submit appropriate monthly reports on time (Preliminary, Initial vocational evaluation, Labor Market Survey, Progress and Closing).
• Complete TSA (transferrable skills analysis) an any necessary testing to facilitate a full assessment (WRAT, CAPS, COPES, COPS and etc.)
• Provide information to Defense and plaintiff Attorneys as appropriate and per state regulations.
• Promote teamwork by assisting and communicating with all AMC staff members
• Maximize accurate & appropriate billable hours per monthly target (8 hrs/day)
• Maintain certifications/ enhance knowledge by participating in Continuing Education functions
• Complete all education and training sessions in a timely manner as directed (annually)
• Provide input on support staff performance as appropriate
• Perform additional professional duties as assigned
• Retain responsibility for job tasks delegated to non-clinical staff members. Report on performance of non-clinical staff members to their supervisor.

Required Skills and Qualifications

• Bachelor’s degree in rehabilitation and counseling. CCM, CDMS or CRC required.
• Practice a health or human services discipline in a state or territory of the United States that allows the health professional to independently conduct an assessment as permitted within the scope of practice of the discipline.
• Completion of a college program and continuing education requirements to maintain certification.

Preferred Experience and Credentials

• Master’s degree.
• One or more national certifications as approved by URAC obtained within 4 years of commencing employment: CCM, CRC, CLNC, CDMS, etc.
• Two years full-time equivalent providing direct case management to the injured worker or work under a supervisor for two years.

Benefits

• Competitive pay and bonus program
• Health, dental, vision, and retirement plans
• Flexible scheduling
• Nurse referral program
• Continuing education support