We are hiring RN Case Manager's for Permanent position :: Brooklyn, NY
Location- Brooklyn, NY
Job Type- Permanent, (Full time)
WORK DAYS- Hybrid (3 days onsite 2 days work from home)
Shift timings- 8am - 5pm
Minimum Qualifications
1. A valid license as a New York State Registered Professional Nurse and 2 years of satisfactory nursing experience in a hospital environment; or
2. Have an ICD9CM coding certificate or one year of equivalent experience.
Responsibilities include:
Consult managerial and legal staff in regard to medical necessity of treatment as it relates to injured workers’ injured sites.
The review and prior approval of medications for claimant’s work-related injuries done telephonically, email and through the authorization medication portal. The portal is time-sensitive and requires prompt review and response. Any review not made timely may result in an order from the State to dispense medication that may be not related to the claimant’s job-related injury.
Assist examiner and legal staff to determine the compensability of treatment as it relates to the claimant’s work injury and assist with medical case management of claims.
Review and process high value and complicated in-patient billing.
Coordinate with hospital administrators and social workers with the discharge of workers’ compensation patients and aggressively negotiate rates for sub-acute and/or home care.
Review independent medical examinations to ensure quality control of reports and verify medical examiners panels for proper credentials.
Job Type: Full-time
Pay: $95,000.00 - $95,500.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
Ability to Relocate:
- Brooklyn, NY: Relocate before starting work (Required)
Work Location: In person