Field Case Manager

Description:

AvonRisk is the nation’s leading specialty risk manager for self-insured organizations, uniting respected regional leaders in workers’ compensation, liability, managed care, and risk management across 32 states. With nearly 700 professionals and brands including Intercare, InterMed, George Hills, AS&G Claims Administration, Charles Taylor, and Allan Koba Compliance Solutions we’re a people-focused, operations-driven organization that prioritizes reasonable caseloads, strong training, collaborative teams, and expert support.

We invest in tools and workflows that reduce friction—not increase volume—and create real career paths for professionals who want to grow or move into leadership. At AvonRisk, you’re part of a team that values good judgment, curiosity, and accountability, and gives you the support to succeed.

This is a remote position traveling in Pikeville/Paintsville, KY.

Position Summary:

This position has the responsibility to identify, assess, plan, coordinate, implement, monitor and evaluate options and services for individuals requiring medical and/or vocational case management services. The goal of the Case Manager is to provide quality, cost effective outcomes for the client through collaborating and communicating with the claimant, the family, the physician, and other members of the health care team.

Essential Functions:

• On-site visits with the claimant, medical care provider and employer, as needed, to evaluate treatment plans, assess the injured worker, family and providers. May require lengthy travel to appointments and requires ability to walk distances to and from medical facilities.
• When needed, visits injured worker home/ family to assess and identify strengths, resources, problems, psychosocial, financial and medical history. Evaluates current status, diagnosis, prognosis, functional status, current treatment plan and needs.
• Develops a plan for physical/ medical and/or vocational services through interdisciplinary collaboration, which identifies realistic short and long-term goals.
• Coordinates the services and resources to implement the plan. Negotiates or utilizes approved vendors for the highest quality, most cost effective appropriate services.
• Demonstrates effective, accurate and timely verbal and written communication. Requires the employee to sit for periods, utilize computer software and telephone to complete required case management activity and prepare reports to clients.
• Provides vocational plan for rehabilitation designed to facilitate injured worker’s return to suitable, gainful employment. Includes visits to work sites when requested or required by the client/ employer.
• Meets Quality Management standards of BHN.
• Participates in marketing activities as requested by Manager or Assistant for a prescribed geographical area. Must be able to drive long distances when required.

Requirements:

Qualifications and Educational/Licensing Requirements:

• Degree in nursing or other degree and appropriate experience as follows:
• RN with minimum of 3 years direct patient care.
• Current RN licensure, if applicable.
• Case management/ Vocational Rehab experience preferred.
• Current CCM or other applicable certification or eligible for certification.
• Strong clinical knowledge base.
• Excellent communication skills; written and verbal.
• Strong analytical skills.
• Ability to work independently under general management direction to complete all assignments.
• Ability to prioritize and organize tasks.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this role.

Compensation:

Salary Range: $38.00-$44.00 per hour

The salary range listed is an estimate. Actual compensation will be determined based on several factors such as a candidate’s experience, qualifications, skill set, and work location. Position is eligible for AvonRisk’s full benefits package.

Benefits:

AvonRisk offers a competitive, people-first benefits package:

• Comprehensive medical, dental, and vision benefits
• Company contributions to HSA and FSA plans
• Employer-paid life and disability insurance
• 401(k) with company match
• Paid time off (PTO) and company-paid holidays
• Employee assistance resources and a supportive culture that values balance and wellbeing

Equal Opportunity Employer:

AvonRisk is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

Pursuant to the Los Angeles and San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest or conviction records.

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