Career Opportunities with SCM Associates
Current job opportunities are posted here as they become available.
Catastrophic Case Manager - HI (Full time) Must Live in Hawaii The Catastrophic Case Manager has the responsibility to identify, assess, plan, coordinate, implement, monitor, and evaluate options and services for individuals requiring case management services. The goal of the case manager is to provide for quality, cost-effective outcomes for the client through collaboration and communication with the client, the family, the physician, and other members of the health care team. The RN Catastrophic Case Manager works from their home office and goes out into the field to hospitals, doctors offices and client homes to perform in person evaluations. This is not a 100% remote position.
Responsibilities and Duties Responsibilities include the following:
Processes cases utilizing using the outcome management model and tools and/or any alternate customer specified model and tools
Obtains written authorization for case management services as well as release of information
Assesses the client/family to identify their strengths and resources; problems; psychosocial, financial, and medical history; current status; diagnosis; prognosis; functional status; goals; current treatment plan; and needs
Develops a plan of care with through interdisciplinary collaboration, which identifies realistic short- and long-term goals
Identifies, secures, and coordinates the services and resources to implement the plan
Monitors services being provided for continued appropriateness and reports to TPAs and insurance carrier
Evaluates the client’s progress, the plan, and the appropriateness of the services provided, with modifications as necessary
Provides ongoing instruction to the client and family regarding the injury/disease process, treatment options, and present care
Promotes the client’s/family’s self-advocacy skills to achieve maximum self-sufficiency
Has knowledge of the benefit package as well as all available funding sources and systems of care and coordinates with the payer for authorization of payment
Provides for in-depth reporting of outcomes encompassing clinical, functional, financial, and customer satisfaction areas
Demonstrates effective, accurate, and timely verbal and written communication in all work situations
Identifies and discloses all situations which might result in exposure to legal liability and/or are indicative of poor-quality care negatively affecting the client
Frequently requires travel to patient appointments.
Performs other related duties as assigned in accordance with the necessary job function
Supervisory Responsibilities This position has no supervisory responsibilities.
People Contact This position requires regular interactions both within the company and outside the company in order to carry out job duties as well as company policies and procedures. Requires abilities of persuasion and cooperation. Often deals with persons of equal or higher rank.
Decision Making This position requires frequent decision making and the ability to plan and perform unusual or difficult work with general operation methods/procedures.
Supervision Received This position exercises considerable latitude in determining objectives and approach to assignments. Completed work is reviewed from a long-term perspective for desired results by a Manager of Case Management.
Minimum Position Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience:
Registered Nurse required
BSN preferred
CCM certification
Three or more years of full-time workers compensation case management experience required
Language Skills:
Ability to read, analyze, and interpret medical information, professional journals, technical procedures, governmental regulations, and standards of care
Ability to effectively present information and respond to questions from customers, managers, and clients as appropriate
Mathematical Skills:
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals
Ability to compute rate, ratio, and percent and to draw and interpret bar graphs
Reasoning Ability:
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists
Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form
Computer Skills:
Knowledge of database software, internet software, and Microsoft word processing software
Certificates, Licenses, Registrations:
RN license in state(s) where cases are to be managed
Valid driver’s license
Valid automobile liability insurance
Other Skills and Abilities:
Ability to organize and evaluate workload and prioritize projects
Ability to meet deadlines
Ability to complete multiple, simultaneous projects with accuracy and efficiency
Detail orientation
Contract-level acceptance by client of the Case Manager to manage their cases
Physical Demands The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee regularly is required to sit and talk or hear. The employee frequently is required to stand and walk. The employee frequently is required to use hands to finger, handle, or feel and to reach with hands and arms. The employee occasionally is required to stoop, kneel, or crouch. The employee occasionally must lift and/or move up to ten pounds. Specific vision abilities required by this job include close vision (clear vision at 20 inches or less), distance vision, peripheral vision, and ability to adjust focus.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually moderate.
At Will Employment Employment at SCM Associates, Inc. is based on mutual consent, and both the employee and SCM have the right to terminate employment at will, with or without cause, with or without advance notice.