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Medical Case Manager - Hybrid
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Full-time
- National Certification such as CCM, CRC, COHN, CRRC preferred.
- Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Broadspire Quality Assurance (QA) Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability, Disability, and Care Management.
- Facilitates timely return to work date by establishing a professional working relationship with the injured worker/disabled individual, physician, and employer.
- Makes referrals for Peer reviews and IME’s by obtaining and delivering medical records and diagnostic films, notifying injured worker/disabled individual and conferring with physicians.
- Minimum of 1 National Certification (CCM, CDMS, CRRN, and COHN) is preferred.
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