SUMMARY OF POSITION:
As a Workers’ Compensation Care Coordinator, your responsibility is to ensure that the patient is receiving quality care that is appropriate, necessary and in alignment with the Care Coordination Plan designed specifically to meet the needs of each patient. In doing so, you will also anticipate the patient’s future medical and behavioral health needs and aid in ensuring the proper mechanisms are put in place to meet maximum rehabilitation in the most efficient and cost-effective way possible. You will also assist in the development and presentation of Care Coordination Plans, working closely with Carisk’s experienced and strengths-based medical and behavioral health clinical team.
PRIMARY DUTIES AND RESPONSIBILITES:
- Assesses and analyzes the injured worker’s medical, behavioral and/or vocational status, utilizing Carisk’s patient-centered, strengths-based biopsychosocial approach.
- Assists in developing a Care Coordination plan to help the patient achieve maximum functional improvement.
- Engages with the patient, current and potential providers as well as vocational and social support systems and other stakeholders externally.
- Engages with Carisk’s Clinical, Quality, Provider Relations and other teams internally.
- Manages a patient’s progress towards the desired outcomes via a customer facing monthly progress report.
- Arranges referrals, consultations, therapeutic services, and confers with other specialists regarding course of care and treatment.
- Accurately reports all case activity and hours associated in accordance with customer-specific guidelines and consistent with Carisk documentation practices.
- Attends all meetings and case conference calls as requested by Carisk Clinical and Administrative teams.
- Maintains any required credentials and adheres to all codes of ethics required by these credentials.
- Performs various professional duties as assigned by management.
- Current, active, and unrestricted Nursing License (RN or LPN)
- Workers’ Compensation and Case Management Experience
- Certified Case Manager (CCM) designation preferred.
- Bilingual ability (English and Spanish) Preferred