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Rising Medical Solutions

Medical cost containment and care management

Medical Disability Specialist - Field Case Management

Medical, Clinical & VeterinaryConfirmed live in the last 24 hours
Full-timeSouth Bend, IN, USA

About the Job

Requirements

  • Have a strong background in at least one of the following specialties: industrial rehabilitation nursing, medical case management, occupational health, orthopedics, home health care, utilization review, or quality assurance.
  • Be familiar with regional physicians.
  • Hold an active, unencumbered registered nursing license and have at least five years of experience.
  • Be able to drive to appointments within a 2-hour radius.

Responsibilities

  • Work from a home office and drive to physician appointments to attend appointments with injured workers.
  • Work collaboratively with injured workers, employers, medical providers, workers' compensation adjusters, and other team members to continuously assess treatment plans and overcome barriers to achieve maximum medical improvement.
  • Identify and facilitate preferred provider selections as needed.

Desired Qualifications

  • CCM and COHN-S/CM credentials are optional but highly valued.

About the Company

Rising Medical Solutions

Medical cost containment and care management

Rising Medical Solutions is a national managed care firm offering medical cost containment and care management for workers’ compensation, auto, liability, and group health markets. Its flagship bill review saves over 60% by applying fee schedules, network discounts, nurse audits, provider negotiations, and fraud detection, while its broader programs cover the full medical care continuum. The proprietary VISION platform is a single-sign-on medical management system that provides claims professionals with referrals and management tools across the entire care process. The company also publishes the annual Workers’ Compensation Benchmarking Study to inform the industry and drive improvements in claims management. Its goal is to lower claim costs, improve care outcomes, and deliver a smooth experience for everyone involved in the medical care and claims process.

Company size
51-200
Company stage
Not listed
Total funding
Not listed
Headquarters
Chicago, IL
Founded
1999

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