• Vocational Case Manager

    Job Locations US-CA-Sacramento
    Posted Date 2 weeks ago(4/9/2018 11:11 AM)
    Requisition ID
    2018-3713
    Category
    Medical Case Management
    Business Unit
    Broadspire
  • Excellence In Everything We Touch

    Broadspire Med Management

     

    This is a work from home position requiring local field case management travel.

    • This position offers a Flexible Weekday Schedule!
    • You will be able to work from a home based position with full-time benefits and bonus opportunities! 
    • And this is a 40 hour benefited position that is not based on case load!

    Position Summary

     

    Provides case management service which is consistent with URAC standards and CMSA Standards of Practice and Broadspire Quality Improvement Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability and Disability.

     

     

    Responsibilities

     

    • Performs various duties including vocational evaluation, counseling, guidance, testing, development and job placement.
    • Acts as a resource for other staff members to provide assistance as needed. 
    • May assist supervisor/manager in review of reports, staff development.
    • Demonstrates ability to meet or surpass administrative requirements, including productivity, time management and quality assessment (QA) standards, with minimal supervisory intervention. 
    • Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual’s medical and vocational status and defines needs and problems in order to provide all needed services of the case.
    • Renders opinions regarding case costs, outcome and problem areas and makes recommendations to support medical case management process.
    • Prepares monthly written evaluation reports, denoting case activity, progress and recommendations in accordance with state regulations and Broadspire' standards.
    • Facilitates a timely return to work date by establishing a professional working relationship with the injured worker/disabled individual, physician, and employer.
    • Maintains contact and communicates with insurance adjusters to apprise them of case activity, case direction or receive authorization for services.  Maintains contact with all parties involved on case, necessary for rehabilitation of the client.
    • Travels to homes, health care providers and various offices as required to facilitate the case management process. 
    • Reviews cases with supervisor monthly to evaluate file and obtain direction.
    • Upholds the Crawford and Company Code of Business Conduct at all times.
    • Demonstrates excellent customer service, and respect for customers, co-workers, and management.
    • Independently approaches problem resolution by appropriate use of research and resources.
    • May perform other related duties as assigned.

     

     

     

    Requirements

     

    • Minimum of 1 National Certification (CRC, CDMS, CVE) is highly preferred.  If not attained, must plan to take certification exam within proceeding 24 months and have a minimum of 4 years WC case management experience/demonstrated excellent performance in a similar position with another organization.
    • Travel entails approximately 70% of work time.
    • Must maintain a valid driver’s license in state of residence.
    • Minimum of three (3) years clinical experience as a Vocational Case Manager. 
    • Demonstrated outstanding experience and job performance is required.  
    • Experience in medical management with some catastrophic case management experience desired.
    • Bachelor's degree in a health-related field and licensure as a health professional.
    • Master's degree in Rehabilitation Counseling is preferred.
    • Ability to provide expert testimony is desirable. 
    • Demonstrated ability to manage complex assignments and ability to work independently is required. 
    • Effective oral and written communication skills are required.
    • Provide expert testimony

     

     

     

    About Us

     

    Broadspire (www.choosebroadspire.com), a leading international third party administrator, provides risk management solutions designed to help clients improve their financial results. Broadspire offers casualty claim and medical management services to assist large organizations in achieving their unique goals, increasing employee productivity and reducing the cost of risk through professional expertise, technology and data analytics. As a Crawford Company, Broadspire is based Atlanta, Ga., with 85 locations throughout the United States. Services are offered by Crawford & Company under the Broadspire brand in Europe (www.Broadspire.eu), including the United Kingdom (www.BroadspireTPA.co.uk).

    In addition to a competitive salary, Crawford offers you:

    • Career advancement potential locally, nationally and internationally. Crawford & Company has more than 700 locations in 70 countries;
    • On-going training opportunities through every stage of your career
    • Strong benefits package including matching 401k; health, dental, and life insurance; employee stock purchase plans; tuition reimbursement and so much more.

    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. 

     

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