• Great Work Life Balance!
• Monthly Bonus Program!
• Free CEU’s for licenses and certificates
• License and national certification reimbursement
CLCP requiredThis is a work from home position! No travel involved!
To provide effective Life Care Planning Services in a professional and timely manner consistent with the Standards of Certified Life Care Planning, URAC Standards, CMSA Standards, Broadspire Best Practices and Client Instructions to Injured Workers, Patients and Employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability, Disability, and Care Management.
Based on federal, state, or local law, this position may require you to be fully vaccinated for COVID-19. If required, the hiring manager will discuss with you during your interview process.
Responsibilities• Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual’s medical status, identifies needs and obstacles to medical case resolution.
• Render opinions regarding case costs, treatment plan, outcome and problem areas, and makes recommendations to facilitate case management goals.
• Demonstrates ability to meet administrative requirements, including productivity, time management and QA standards, with a minimum of supervisory intervention.
• Maintains contact and communicates with claims adjusters to apprise them of case activity.
• May obtain records from the branch claims office.
• May review files for claims adjusters and supervisors for appropriate referral for case management services.
• Makes referrals for Peer reviews and IME’s by obtaining and delivering medical records and diagnostic films.
• Utilizes clinical expertise and medical resources to interpret medical records and test results and provides assessment accordingly.
• Meets monthly production requirements and quality assessment (QA) requirements to ensure a quality product.
• Reviews cases with supervisor monthly to evaluate files and obtain directions.
• Upholds the Crawford and Company Code of Business Conduct at all times.
• Demonstrates excellent customer service, and respect for customers, co-workers, and management.
• Independently approaches problem solving by appropriate use of research and resources.
• May perform other related duties as assigned.
Requirements
• Certified Life Care Planner certificate is required.
Associate’s degree or relevant course work/certification in Nursing is required; BSN Degree is preferred.• Minimum of 1-3 years diverse clinical experience and one of the below:
• Certification as a case manager from the URAC-approved list of certifications (preferred);
• A registered nurse (RN) license is preferred.
• Minimum of 1 National Certification (CCM, CDMS, CRRN, and COHN) is preferred. If not attained, must plan to take certification exam within proceeding 36 months.
• National certification must be obtained in order to reach Senior Medical Case Management status.
• Must be compliant with state requirements regarding national certifications.
• Based on federal, state, or local law, this position may require you to be fully vaccinated for COVID-19.
• Active RN home state licensure in good standing without restrictions with the State Board of Nursing.
• General working knowledge of case management practices and ability to quickly learn and apply workers compensation/case management products and services.
• Excellent oral and written communications skills.
• Excellent analytical and customer service skills.
• Basic computer skills including working knowledge of Microsoft Office products and Lotus Notes.
• Demonstrated ability to establish collaborative working relationships with claims adjusters, employers, patients, attorneys and all levels of employees.
• Demonstrated ability to gather and analyze data and establish plans to improve trends, processes, and outcomes.
• Excellent organizational skills as evidenced by proven ability to handle multiple tasks simultaneously.
• Demonstrated leadership ability with a basic understanding of supervisory and management principles.
Because a claim is more than a number — it’s a person, a child, a friend. It’s anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community – one claim at a time.
At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We’re looking for the next generation of leaders to take this journey with us.
We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com.
When you accept a job with Crawford, you become a part of the One Crawford family.
Our total compensation plans provide each of our employees with far more than just a great salaryPay and incentive plans that recognize performance excellenceBenefit programs that empower financial, physical, and mental wellnessTraining programs that promote continuous learning and career progression while enhancing job performanceSustainability programs that give back to the communities in which we live and workA culture of respect, collaboration, entrepreneurial spirit and inclusion
Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.
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