Medical Case Manager

Title: Medical Case Manager - Lansing/Grand Rapids, MI

Location: Lansing United States

Job Description:

RESPONSIBILITIES: As a Medical Case Manager, you will make a meaningful difference in the lives of injured workers and their families.

• Work from home, and on the road. Monday - Friday (8am - 5pm). Up to 20% travel. In some situations, overnight travel.
• Provides Medical Case Management to individuals through in person and telephonic communications with the patient, physician, other health care providers, employer and others.
• Evaluates patient's treatment plan for appropriateness, medical necessity, and cost effectiveness.
• Provides assessment, planning, implementation and evaluation of patient's progress.
• Negotiation the delivery of durable medical equipment and nursing services.

Compensation:

• Starting salary is based on experience -$75K - $85K
• Mileage reimbursement.
• Office equipment provided
• Monthly bonus potential
• Excellent employee benefits

QUALIFICATIONS:

• 3 years Clinical experience - ER, Urgent Care, Orthopedics, Surgical or Neurology
• 1 year of Medical case management, Utilization review, or Managed care
• CCM certification or previous experience managing worker"s compensation case files.
• Hospital discharge planning or home evaluations - Telephonic and in person
• Proficient computer skills - MS Office (Word, Excel, Outlook) and use of multiple monitors
• Registered Nursing Diploma or associate's degree in nursing with an active Michigan License
• Case Manager Certificate preferred (CCM, CIRS, or equivalent); Must be willing to obtain within 36 months

OpTech is an equal opportunity employer and is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, status as a parent, disability, age, veteran status, or other characteristics as defined by federal, state or local laws. https://www.optechus.com/eeo_self_identification/