Case Manager – Field (WFH) for Berkley Medical Management Solutions – Spartanburg, SC

Some responsibilities include:

***This is a full-time work from home position.***

**Assess, plan, coordinate, monitor, evaluate and implement options and services to facilitate timely medical care and return to work outcomes of injured workers.

**Coordinate and implement medical case management to facilitate case closure.
**Assess appropriate utilization of medical treatment and services available through contact with physicians and other specialist to ensure cost effective quality care.
**Review and analyze medical records and assess data to ensure appropriate case management process occurs while providing recommendations to achieve case progress and movement to closure.
**Document activities and case progress using appropriate methods and tools following best practices for quality improvement.
**Coordinate job analysis with employer to facilitate return to work.
**Perform other duties and special projects as assigned by case management supervisor.
**Review job analysis with physician.
**Responsible for assigned caseloads, which may vary in numbers, territory and/or by state jurisdiction.
**Coordinate services to include home services, durable medical equipment, IMEs, admissions, discharges, and vocational services when appropriate and evaluate cost effectiveness and quality of services.