GENERAL SUMMARY:

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.

Positions Available in …

• Jacksonville, Florida
• Central Florida
• Northeast Florida
• St. Augustine / Palm Coast

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: CRRN, 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.

TRANSPORTATION:

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.

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

General Responsibilities:

• Provide general administrative and clerical support including mailing, scanning, faxing
• Maintain electronic filing system
• Open, sort and distribute incoming correspondence
•  Perform data entry and scan documents
• Manage multiple calendars for field personnel
•  Reviewing/answering emails
• Interact with physician offices, therapy , transportation vendor(s) etc.
•  Prepare and modify documents including correspondence, reports, drafts, memos and emails
• Schedule and coordinate appointments, and travel arrangements for field personnel
• Ability to change and adapt work activities frequently (i.e. typing, filing, answering phones etc).
• Ability to proofread typed material for grammatical, typographical or spelling errors

Minimum Qualifications:

• High School Diploma, two plus years of college a plus
• 2+ years of hands on administrative support experience
• Proficiency in MS Word, MS Excel and MS Outlook, a must Experience with Billquick or other billing software a plus

• Knowledge of operating standard office equipment
• Excellent communication skills – written and verbal
• Ability to prioritize projects and strong problem solving skills
• Good research skills and attention to detail

We offer attractive, competitive compensation and benefits including, medical, paid vacation, Simple IRA Plan and many more.
Due to the anticipated volume of responses, we will contact only those candidates who most closely match our requirements