Exceptional Case Services, Inc.

Career Opportunities

Field Case Manager Medical South FL North Ft. Lauderdale to Miami

GENERAL SUMMARY: Apply for this position

Responsible for assessing and analyzing information pertinent to injured
employees to evaluate the medical and vocational needs required to
facilitate the patients rehabilitation needs, as well as appropriate and
timely return to work. Acts as a liaison with patient/family, employer,
provider(s), insurance companies, and healthcare personnel.

ESSENTIAL RESPONSIBILITIES:

  • Ability to understand and communicate in English verbally and in
    writing
  • Must at all times adhere to HIPPA guidelines as appropriate
  • Obtains medical history of the injured employee
  • Obtains signed medical release form when appropriate
  • Pursues and obtains prior medical records when appropriate
  • Assesses and analyzes an injured employee’s medical and vocational
    status
  • Develops a plan of care to facilitate the patients appropriate and
    timely return to work, and coordinates with the employer when appropriate
  • Interviews patients in their homes, work-sites, or physicians office
    to provide ongoing case management services
  • Monitors patient progress toward desired outcomes through assessment
    and evaluation
  • Communicates both in-person and telephonically with patient, medical
    providers, attorneys, employers, vendors and insurance carriers. Prepares
    all required documentation of case work activities
  • Schedules appointments for implementation and follow up of treatment
    plan
  • Monitors for progress and completion of vendor referrals,
    consultations and therapeutic services for patients
  • Ensures transportation is available for the injured employee to attend
    physician appointments when appropriate
  • Accompanies the injured employee during physician consultations
  • Confers with specialists concerning course of care and treatment
  • Identifies and evaluates prescribed medications and therapy
  • Ensures all employer and injured employee’s concerns are addressed by the
    physician
  • Ensures injured employee understands Physician’s diagnosis of their
    injury/ illness and any instructions and recommendations regarding treatment
    when appropriate
  • Keeping the injured employee motivated and on-track regarding
    treatment and issues through consistent monitoring, contact and support
  • Follows post-op treatment plan to ensure compliance and to address
    issues as they arise
  • Upon approval by carrier, coordinate and monitor any treatment
    referrals made by the authorized treating physician
  • Establishes effective rapport with all professions involved in the
    injured employee rehabilitation process to facilitate treatment and optimum
    care
  • Provides a comprehensive monthly report detailing the injured
    employee’s progress, physician/therapy visits and significant events that
    meets company standards for content and format
  • Develops and administers educational and prevention programs
  • When necessary, coordinate return to work issues with the employer, to
    include Job Analysis or ergonomic evaluation, and present to the physician
    for approval
  • Maintains a working knowledge of medications, their uses,
    contraindications, side effects, and provides information to the carriers as
    necessary
  • Applies all laws and regulations that apply to the provision of
    rehabilitation services. Applies all special instructions required by
    individual insurance carriers and referral sources
  • Testifies as required to substantiate any relevant case work or
    reports
  • Maintains a working knowledge of Florida Statute 440, and the Florida
    Administrative Code, as applies to the provision of services as a QRP
  • Timely completion of time and expense reporting per company
    guidelines
  • Maintains a working knowledge of the current standard of treatment
    guidelines and protocols
  • Provides appropriate research documentation regarding the relevant
    diagnosis and treatment to carrier, attorney, and injured worker as
    appropriate
  • Performs other duties as assigned

 

JOB REQUIREMENTS:

  • Must have current driver’s license and be able to provide proof of
    automobile insurance
  • Ability to work independently
  • Demonstrate PC skills including knowledge of Microsoft Outlook and
    Word proficiency
  • Ability to travel day to day within assigned geographical areas is
    required driving for between 6-8 hours on any given day between
    appointments
  • Must possess strong professional communication, organizational and
    interpersonal skills when interacting verbally and in written format

EDUCATION/CREDENTIALS:

Must hold one of the following certifications: CDMS, COHN or CCM
Certification. Maintain all applicable licensure and keep current.

It is the responsibility of the employee to provide the employer with
updated copies of their credentialing information.

JOB RELATIVE EXPERIENCE:

2-4 years case management experience

PHYSICAL DEMANDS/COMMUNICATION SKILLS/COGNITIVE DEMANDS

The physical demands described here are representative of those that must be met by an employee
to successfully perform the essential functions of this job. Reasonable
accommodations may be made to enable individuals with disabilities to
perform the essential functions.

  • Sitting (approximately 1/3 to 2/3 of the day) while driving and/or
    while at computer
  • Walking (approximately 1/3 to 2/3 of the day)
  • Be independently mobile within a building and between buildings.
  • Driving (1 to 8 hours a day) depending on geographical region
    assigned
  • Talking/hearing, handwriting, reading (up to 8 hours a day)
  • Have endurance and attention to actively engage in the essential
    functions required for the entire 40 hour week
  • Audibly communicate with clarity in person to exchange accurate
    information on a one-to-one basis, in small group or in large settings
  • Exhibit legible, properly spelled and grammatically correct written
    communications
  • Communicate effectively, efficiently and appropriately with peers,
    supervisors, vendors and all customers of Exceptional Case Services, Inc.
  • Work within environments, which involve exposure to persons with
    physical and mental disabilities; and to pain, grief, death, stress,
    communicable diseases, blood and body fluids, and irritating particles
  • Work with a diverse client population including persons of various
    ages, ethnic, racial, religious and alternative lifestyle and socioeconomic
    backgrounds without prejudice or repulsions
  • Work around others and alone
  • Function as part of a team
  • Show problem solving ability sufficient to organize and complete
    multiple tasks accurately and within assigned time frames
  • Independently initiate routine job tasks
  • Carry out detailed, simple to complex written or oral instructions.
  • Comprehend medical records, documents, evaluations, manuals, journals,
    instructions in use and maintenance of equipment, safety rules and
    procedures
  • Maintain poise and flexibility in stressful or changing conditions
  • Demonstrate fine motor coordination/dexterity and sensation to be able
    to grasp, handle, hold, cut, push, pull and feel
  • Reaching with hands/arms, keyboarding/typing (1 to 8 hours of the day)
  • Viewing a computer monitor (up to 8 hours a day)
  • Standing approximately 1/3 of day
  • Stooping, kneeling and crouching (occasionally)
  • Lifting 5-20 pounds (occasionally)
  • Pushing/pulling 5-20 pounds occasionally
  • Low exposure to dust, gas, fumes or chemicals
  • Working in controlled atmosphere such as an office (up to 8 hours a
    day)
  • Exposure to outside weather occasionally such as going to and from the
    car or office

This position regularly requires being able to work at close vision (clear
vision at 20 inches or less) and to adjust focus (ability to adjust the eye
to bring an object into sharp focus); distance vision (clear at more than 20
feet).

The typical noise level in the work environment of this position is of
moderate notice. On occasion, you may be subject to a loud noise level.

TRANSPORATION:

Use of your personal vehicle is necessary for appointments with clients,
medical providers, attorneys, employers, insurance carriers, etc. You will
be responsible for keeping a mileage record for submission into billing
software. Proof of current liability insurance on your personal vehicle must
be provided at time of employment and when it expires. Personal vehicle
insurance is the primary coverage in case you are in an accident in your
vehicle while on business for ECS. You will need a valid Florida Driver’s
License. If the State DMV requires you to drive with corrective vision, you
will be expected to comply.


Field Case Manager Medical South Tampa to Naples Area

GENERAL SUMMARY: Apply for this position

Responsible for assessing and analyzing information pertinent to injured
employees to evaluate the medical and vocational needs required to
facilitate the patient’s rehabilitation needs, as well as appropriate and
timely return to work. Acts as a liaison with patient/family, employer,
provider(s), insurance companies, and healthcare personnel.

ESSENTIAL RESPONSIBILITIES:

  • Ability to understand and communicate in English verbally and in
    writing
  • Must at all times adhere to HIPPA guidelines as appropriate.
  • Obtains medical history of the injured employee
  • Obtains signed medical release form when appropriate
  • Pursues and obtains prior medical records when appropriate
  • Assesses and analyzes an injured employee’s medical and vocational
    status
  • Develops a plan of care to facilitate the patient’s appropriate and
    timely return to work, and coordinates with the employer when appropriate
  • Interviews patients in their homes, work-sites, or physicians office
    to provide ongoing case management services
  • Monitors patient progress toward desired outcomes through assessment
    and evaluation
  • Communicates both in-person and telephonically with patient, medical
    providers, attorneys, employers, vendors and insurance carriers. Prepares
    all required documentation of case work activities
  • Schedules appointments for implementation and follow up of treatment
    plan
  • Monitors for progress and completion of vendor referrals,
    consultations and therapeutic services for patients
  • Ensures transportation is available for the injured employee to attend
    physician appointments when appropriate
  • Accompanies the injured employee during physician consultations
  • Confers with specialists concerning course of care and treatment
  • Identifies and evaluates prescribed medications and therapy
  • Ensures all employer and injured employee’s concerns are addressed by
    physician
  • Ensures injured employee understands physicians diagnosis of their
    injury/ illness and any instructions and recommendations regarding treatment
    when appropriate
  • Keeping the injured employee motivated and on-track regarding
    treatment and issues through consistent monitoring, contact and support
  • Follows post-op treatment plan to ensure compliance and to address
    issues as they arise
  • Upon approval by carrier, coordinate and monitor any treatment
    referrals made by the authorized treating physician
  • Establishes effective rapport with all professions involved in the
    injured employee rehabilitation process to facilitate treatment and optimum
    care
  • Provides a comprehensive monthly report detailing the injured
    employee’s progress, physician/therapy visits and significant events that
    meets company standards for content and format
  • Develops and administers educational and prevention programs.
  • When necessary, coordinate return to work issues with the employer, to
    include Job Analysis or ergonomic evaluation, and present to the physician
    for approval
  • Maintains a working knowledge of medications, their uses,
    contraindications, side effects, and provides information to the carriers as
    necessary
  • Applies all laws and regulations that apply to the provision of
    rehabilitation services. Applies all special instructions required by
    individual insurance carriers and referral sources
  • Testifies as required to substantiate any relevant case work or
    reports
  • Maintains a working knowledge of Florida Statute 440, and the Florida
    Administrative Code, as applies to the provision of services as a QRP
  • Timely completion of time and expense reporting per company
    guidelines
  • Maintains a working knowledge of the current standard of treatment
    guidelines and protocols
  • Provides appropriate research documentation regarding the relevant
    diagnosis and treatment to carrier, attorney, and injured worker as
    appropriate
  • Performs other duties as assigned

JOB REQUIREMENTS:

  • Must have current driver’s license and be able to provide proof of
    automobile insurance
  • Ability to work independently
  • Demonstrate PC skills including knowledge of Microsoft Outlook and
    Word proficiency
  • Ability to travel day to day within assigned geographical areas is
    required driving for between 6-8 hours on any given day between
    appointments
  • Must possess strong professional communication, organizational and
    interpersonal skills when interacting verbally and in written format

EDUCATION/CREDENTIALS:

Must hold one of the following certifications: CDMS, COHN or CCM
Certification. Maintain all applicable licensure and keep current.
It is the responsibility of the employee to provide the Employer with
updated copies of their credentialing information.

JOB RELATIVE EXPERIENCE:

2-4 years case management experience

PHYSICAL DEMANDS/COMMUNICATION SKILLS/COGNITIVE DEMANDS

The physical demands described here are representative of those that must be met by an employee
to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Sitting (approximately 1/3 to 2/3 of the day) while driving and/or
    while at computer
  • Walking (approximately 1/3 to 2/3 of the day)
  • Be independently mobile within a building and between buildings
  • Driving (1 to 8 hours a day) depending on geographical region
    assigned.
  • Talking/hearing, handwriting, reading (up to 8 hours a day)
  • Have endurance and attention to actively engage in the essential
    functions required for the entire 40 hour week
  • Audibly communicate with clarity in person to exchange accurate
    information on a one-to-one basis, in small group or in large settings
  • Exhibit legible, properly spelled and grammatically correct written
    communications
  • Communicate effectively, efficiently and appropriately with peers,
    supervisors, vendors and all customers of Exceptional Case Services, Inc.
  • Work within environments, which involve exposure to persons with
    physical and mental disabilities; and to pain, grief, death, stress,
    communicable diseases, blood and body fluids, and irritating particles
  • Work with a diverse client population including persons of various
    ages, ethnic, racial, religious and alternative lifestyle and socioeconomic
    backgrounds without prejudice or repulsions
  • Work around others and alone
  • Function as part of a team
  • Show problem solving ability sufficient to organize and complete
    multiple tasks accurately and within assigned time frames
  • Independently initiate routine job tasks
  • Carry out detailed, simple to complex written or oral instructions
  • Comprehend medical records, documents, evaluations, manuals, journals,
    instructions in use and maintenance of equipment, safety rules and
    procedures
  • Maintain poise and flexibility in stressful or changing conditions
  • Demonstrate fine motor coordination/dexterity and sensation to be able
    to grasp, handle, hold, cut, push, pull and feel
  • Reaching with hands/arms, keyboarding/typing (1 to 8 hours of the day)
  • Viewing a computer monitor (up to 8 hours a day)
  • Standing approximately 1/3 of day
  • Stooping, kneeling and crouching (occasionally)
  • Lifting 5-20 pounds (occasionally)
  • Pushing/pulling 5-20 pounds occasionally
  • Low exposure to dust, gas, fumes or chemicals
  • Working in controlled atmosphere such as an office (up to 8 hours a
    day)
  • Exposure to outside weather occasionally such as going to and from the
    car or office

This position regularly requires being able to work at close vision (clear
vision at 20 inches or less) and to adjust focus (ability to adjust the eye
to bring an object into sharp focus); distance vision (clear at more than 20
feet).

The typical noise level in the work environment of this position is of
moderate notice. On occasion, you may be subject to a loud noise level.

TRANSPORATION:

Use of your personal vehicle is necessary for appointments with clients,
medical providers, attorneys, employers, insurance carriers, etc. You will
be responsible for keeping a mileage record for submission into billing
software. Proof of current liability insurance on your personal vehicle must
be provided at time of employment and when it expires. Personal vehicle
insurance is the primary coverage in case you are in an accident in your
vehicle while on business for ECS. You will need a valid Florida Driver’s
License. If the State DMV requires you to drive with corrective vision, you
will be expected to comply.