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For your reference, we have included the original job posting below.
Medical Case Coordinator - Farmingdale, NY
Job Number:
43321613
Company Name:
Liberty Mutual
Job Location:
Farmingdale, NY US
Job Category:
Accounting & Finance
Medical Case Coordinator - Farmingdale, NY
Title: Medical Case Coordinator - Farmingdale, NY Location: US-NY-Farmingdale Other Locations: US-Michigan Advance your career at Liberty Mutual - A Fortune 100 Company! If you're a registered nurse looking for a new opportunity to work in a fast-paced, professional environment where your talent contributes to our competitive edge, Liberty Mutual has the opportunity for you. This position requires managing an assigned case workload. Review files,interprets medical reports, and makes recommendations for promoting appropriate cost effective outcomes. Performs some medical case management hours of operation for this position is Monday - Friday 8:15 am to 4:30 pm. This position is located in our Farmingdale, NY office.
Responsibilities: * Contacts providers as needed to determine the appropriateness and duration of treatment. * Reviews files to determine the need and timing for IMEs and Peer Reviews. Identifies the appropriate medical specialty and recommends questions to be asked at the time of review. * Educates Personal Market staff, Claims Representatives and Claims Specialist on case management and medical terminology. Interpretation of Medical procedures, Diagnostic testing, IME, and Peer Reviews. * Identifies the need, make recommendations and when requested, arranges, for attendant care, durable medical equipment, prescription drugs, transportation, and specialty facility admissions. Refers to preferred providers when possible. * When requested by the case owner, performs in person assessment and communicates with the physician to establish diagnosis, treatment plan and prognosis on complex/catastrophic cases. Develop and Implements individualized case management plan. In person assessment on older cases to determine status and on going need for treatment and services. * Communication with case owner on a regular basis. * Documentation in Workbench of all activity performed, recommendations and cost savings. Monthly completion and submission of time tracking logs to include time, travel and miscellaneous expenses on each assigned case. * Undertake assignments at the direction of the On Site Nurse Manager. Qualifications: * 3 years of relevant nursing experience (BSN preferred) * Must have current registered nurse license as required by law in the state of NY and/or MI. * Prefer additional certifications such as, C.R.R.N., C.I.R.S. and C.C.M. where required by law. * Ability to analyze and make sound nursing judgments is required. * Prefer knowledge of state, local and federal laws related to health care delivery. * Michigan no fault state law is a plus. * Strong interpersonal communication skills required. * Demonstrated ability to accurately document activities is required. * Prefer 1-2 years of computer experience. * Requires occasional travel in order to conduct in persons assessments and meeting with medical providers. Benefits: We recognize that talented people are attracted to companies that provide competitive pay, comprehensive benefits packages and outstanding advancement opportunities. For this reason we offer a Comprehensive Benefits Plan that includes the following: * 401K and Company paid pension plan * Medical coverage * Dental coverage * Paid time-off * Pay-for-Performance * Discounts on automobile and homeowner's insurance * Discount fitness memberships * Flexible spending accounts * Tuition reimbursement * Vision care coverage * Work/Life resources * Credit Union membership * Employee and Dependent life insurance * Disability insurance * Long-term care insurance Overview:
We believe strongly that commercial success can be achieved in a manner consistent with principles and ideals that bind us together as one company, that set us apart from our competitors, and that in the end will allow us to say we have succeeded commercially by doing the right thing the right way.
We believe that the Company's success is inextricably linked to our employees' satisfaction and success: satisfaction that they work for an industry leader committed to improving safety, satisfaction that they work for a company that does the right thing, and satisfaction that the company will reward them for their contributions and provide opportunities for personal growth and success.
We believe our employees take pride in knowing that they help people live safer more secure lives everyday.
