Bilingual Worker's Compensation Care Coordinator

Job description

Role Overview As a Workers' Compensation Care Coordinator, your responsibility is to ensure that the patient is receiving quality care that is appropriate, necessary and in alignment with the Care Coordination Plan designed specifically to meet the needs of each patient. In doing so, you will also anticipate the patient's future medical and behavioral health needs and aid in ensuring the proper mechanisms are put in place to meet maximum rehabilitation in the most efficient and cost-effective way possible. You will also assist in the development and presentation of Care Coordination Plans, working closely with Carisk’s experienced and strengths-based medical and behavioral health clinical team. Role Responsibilities Assesses and analyzes the injured worker's medical, behavioral and/or vocational status, utilizing Carisk’s patient-centered, strengths-based biopsychosocial approach. Assists in developing a Care Coordination plan to help the patient achieve maximum functional improvement. Engages with the patient, current and potential providers as well as vocational and social support systems and other stakeholders externally. Engages with Carisk’s Clinical, Quality, Provider Relations and other teams internally. Manages a patient’s progress towards the desired outcomes via a customer facing monthly progress report. Arranges referrals, consultations, therapeutic services, and confers with other specialists regarding course of care and treatment. Accurately reports all cases, activity and hours associated in accordance with customer-specific guidelines and consistent with Carisk documentation practices. Attends all meetings and conference calls as requested by Carisk Clinical and Administrative teams. Maintains any required credentials and adheres to all codes of ethics required by these credentials. Performs various professional duties as assigned by management. Role Qualifications Required current, active, and unrestricted Nursing License (RN or LPN) Preferred Workers’ Compensation and Case Management Experience 1-2 years minimum Certified Case Manager (CCM) designation preferred Bilingual ability (English and Spanish) required Must be able to work 11:30am-8:00pm EST Culture and Benefits at Carisk: 10 Paid Company Holidays Paid Time Off Competitive Medical, Dental, and Vision Insurance Company Sponsored Life Insurance Supplemental Life Insurance, Short/Long Term Disability, Employee Assistance Program, Flexible Spending Account, and many other Ancillary Benefits 401(k) Retirement Plan with Company Match ClassPass Wellness Program Employee Discount Program Flexible and Hybrid Schedule Options* Internal Education Programs and Tuition Reimbursement Options Internal Advancement Opportunities Company-Wide Diversity and Holiday Celebrations Best Places to Work Award Recipient 5 years in a row! *Schedule options and work location vary between departments and management approval Carisk Partners provides equal employment opportunities to all employees and applicants for employment, and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. About Carisk Partners, Inc. Carisk Partners, a Best Places to Work award winning organization, is a specialty risk transfer, care-coordination company servicing insurers, government entities, self-insured plan sponsors and other managed care organizations. Through its Pathways 2 Recovery care model, Carisk Partners aims to improve outcomes and reduce overall cost of quality care by applying best practices in a patient – centered approach to manage complex challenges for the group health, casualty and auto markets.