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Clinic RN Case Manager - Occupational Health Clinic

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In this position, the Nurse Case Manager provides occupational health case management and coordinates with physicians, other health team members, insurance adjusters, employers, and patients to expedite medically appropriate, cost-effective care, promote quality through evidence-based practice guidelines, and facilitate an early return to work when possible.
 
Essential Duties and Responsibilities
Clinical Care Coordination
  • Works with physicians and other providers to develop a plan of care for patients with complex problems and injuries.
  • Identifies obstacles to efficiency and goal outcomes and intervenes to overcome or eliminate these when possible.
  • Participates in clinical case reviews and quality improvement efforts
  • Continuously assesses, develops, and implements discharge plans in collaboration with providers, employers, and insurance adjustors, communicates and involves patient/family in discharge planning and coordinates finalization of all discharge related recommendations for selected cases.
  • Provides back-up assistance for other OHS clinicians when needed to provide services to patients
Education and Advocacy
  • Works with other OHS team members to provide workers with information and education regarding their injuries and treatments in order to maximize their opportunity to achieve optimal recoveries.
  • Serves as a resource to patients and their families regarding access to health care resources.
  • Negotiates with employers, insurance adjustors and other healthcare providers to obtain appropriate services for patients.
  • Works with providers to identify appropriate internal/external resources for referral purposes.

  • Current MT RN license.
  • Current BLS certification
  • Previous experience as a Case Manager or three years current experience in Occupational Health
  • Knowledge of OSHA and MT worker’s compensation regulations and of employer/payer policies related to worker’s compensation
  • Ability to communicate effectively and diplomatically within a multi-functional team
  • Strong organizational skills and attention to detail
  • Ability to successfully function in a fast paced, service oriented environment
  • Experience in understanding and usage of computers as well as the ability to learn applications relevant to the position
Organization: St. Vincent Medical Group, Billings, MT
Primary Location: MT-Billings/Surrounding Areas-Billings
Department: SVB PSO-SVPN-Industrial Med
Schedule: Full-time
Shift: Day Shift
Job Posting: 6/5/2017 10:59:25 PM
FTE: 1.0
Job Number: 17003817
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