Shire Jobs

JOB REQUIREMENTS: Medical Case Manager Part-Time Requisition ID 2024-25454 Job Locations US-MN-Minneapolis \| US-WI-Eau Claire Position Type Regular Part-Time Category Medical Case Management Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary * Great Work Life Balance! * Monthly Bonus Program! * Free CEU\'s for licenses and certificates * License and national certification reimbursement This is a work from home position requiring local field case management travel to cover the Minneapolis, MN National Certification such as CCM, CRC, COHN, CRRC preferred. RN degree required. Prior Workers Compensation Case Management preferred. To provide effective case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Broadspire Quality Assurance (QA) Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers\' Compensation, Group Health, Liability, Disability, and Care Management. Based on federal, state, or local law, this position may require you to be fully vaccinated for COVID-19. If required, the hiring manager will discuss with you during your interview process. Responsibilities * Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual\'s medical status, identifies needs and obstacles to medical case resolution and RTW by providing proactive case management services. * Render opinions regarding case costs, treatment plan, outcome and problem areas, and makes recommendations to facilitate case management goals to include RTW. * Demonstrates ability to meet administrative requirements, including productivity, time management and QA standards, with a minimum of supervisory intervention. * May perform job site evaluations/summaries to facilitate case management process. * Facilitates timely return to work date by establishing a professional working relationship with the injured worker/disabled individual, physician, and employer. Coordinate RTW with injured worker, employer and physicians. * Maintains contact and communicates with claims adjusters to apprise them of case activity, case direction or secure authorization for services.... For full info follow application link. Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/3A13E3DFB17E4E78