Opus Medical

Manager

• Coordinate care and communicate pertinent medical information among the Injured Worker, Insured, and Carrier
• Facilitate appropriate treatment, successful rehabilitation, and return to work
• Deliver efficient, cost-effective communication for work injuries, MVAs, liability claims, LTD/STD, and other referred services
• Follow policies and procedures in the Case Management plan and retain accountability for the CM process
• Accept referrals assigned by the Director of Case Management
• Make initial contacts, schedule initial assessments, and obtain next physician appointment dates
• Confirm assignments with referral sources and clarify special handling instructions
• Build professional relationships with clients and treat claimants with dignity
• Maintain ongoing communication with the Injured Worker, Insured, and Carrier
• Record data and billing in CaseAnyplace
• Submit timely monthly Preliminary, Initial, Progress, and Closing reports
• Attend physician appointments and obtain diagnosis, prognosis, treatment plan, rehabilitation length, estimated return-to-work status, and MMI/Full Recovery information
• Refer to Vocational Counselors for job analyses when appropriate and approved by the Carrier
• Recommend and coordinate IME physicians and attend IMEs
• Coordinate transportation as needed
• Provide translation as needed for bilingual nurses
• Monitor treatment plans and attend therapy sessions when appropriate
• Maintain contact with therapists for updates
• Request transfer of files to Vocational Counselors when appropriate
• Assist Carrier/Insured with modified or regular-duty return-to-work planning
• Provide information to Defense Attorneys as appropriate
• Promote teamwork with staff members
• Maximize accurate, appropriate billable hours toward the monthly target of 8 hours per day
• Retain responsibility for tasks delegated to non-clinical staff
• Perform additional professional duties as assigned

Field Nurse Case Manager

• Coordinate care and communicate pertinent medical information among the Injured Worker, Insured, and Carrier
• Facilitate appropriate treatment, successful rehabilitation, and return to work
• Deliver efficient, cost-effective communication for work injuries, MVAs, liability claims, LTD/STD, and other referred services
• Follow all policies and procedures in the Case Management plan and retain accountability for the CM process
• Accept referrals assigned by the Director of Case Management
• Make initial contacts, schedule initial assessments, and obtain physician appointment dates
• Confirm assignments with referral sources and clarify special handling instructions
• Build professional relationships with clients and treat claimants with dignity
• Maintain ongoing communication with the Injured Worker, Insured, and Carrier
• Record data and billing in CaseAnyplace
• Submit timely monthly Preliminary, Initial, Progress, and Closing reports
• Attend physician appointments and obtain diagnosis, prognosis, treatment plan, rehabilitation length, estimated return to work, and MMI/Full Recovery information
• Refer to Vocational Counselors for job analyses when appropriate and approved by the Carrier
• Recommend physicians for Independent Medical Examinations and coordinate and attend IMEs
• Coordinate transportation as needed
• Monitor treatment plans and attend therapy sessions when appropriate
• Maintain contact with therapists for updates
• Request transfer of files to Vocational Counselors when appropriate
• Assist Carrier/Insured with modified or regular-duty return-to-work planning
• Provide information to Defense Attorneys as appropriate
• Promote teamwork with all staff members
• Maximize accurate, appropriate billable hours per monthly target of 8 hours per day
• Retain responsibility for tasks delegated to non-clinical staff
• Perform additional professional duties as assigned

• Coordinate care and communicate pertinent medical information among the Injured Worker, Insured, and Carrier
• Facilitate appropriate treatment, successful rehabilitation, and return to work
• Deliver efficient, cost-effective communication for work injuries, MVAs, liability claims, LTD/STD, and other referred services
• Follow Case Management plan policies and retain accountability for the CM process
• Accept assigned referrals and make initial contacts
• Schedule initial assessments and obtain upcoming physician appointment dates
• Confirm assignments and clarify special handling instructions
• Build professional client relationships and treat claimants with dignity
• Maintain ongoing communication with the Injured Worker, Insured, and Carrier
• Record data and billing in CaseAnyplace
• Submit timely monthly Preliminary, Initial, Progress, and Closing reports
• Attend physician appointments and obtain diagnosis, prognosis, treatment plan, rehabilitation length, estimated return-to-work status, and MMI/Full Recovery information
• Refer to Vocational Counselor for job analyses when appropriate and approved by Carrier
• Recommend and coordinate IME physicians and attend IMEs
• Coordinate transportation as needed
• Provide translation as needed for bilingual nurses
• Monitor treatment plans and attend therapy sessions when appropriate
• Maintain contact with therapists for updates
• Request file transfers to Vocational Counselor when appropriate
• Assist Carrier/Insured with modified or regular-duty return-to-work planning
• Provide information to Defense Attorneys as appropriate
• Promote teamwork with all staff members
• Maximize accurate, appropriate billable hours toward the monthly target of 8 hours/day
• Perform additional professional duties as assigned
• Retain responsibility for tasks delegated to non-clinical staff

• Coordinate care and communicate pertinent medical information among the Injured Worker, Insured, and Carrier
• Facilitate appropriate treatment, successful rehabilitation, and return to work
• Deliver efficient, cost-effective communication for work injuries, MVAs, liability claims, LTD/STD, and other referred services
• Follow policies and procedures in the Case Management plan and retain accountability for the CM process
• Accept referrals assigned by the Director of Case Management
• Make initial contacts, schedule initial assessments, and obtain upcoming physician appointment dates
• Confirm assignments with referral sources and clarify special handling instructions
• Build professional relationships with clients and treat claimants with dignity
• Maintain ongoing communication with the Injured Worker, Insured, and Carrier
• Record data and billing in CaseAnyplace
• Submit timely monthly Preliminary, Initial, Progress, and Closing reports
• Attend physician appointments and obtain diagnosis, prognosis, treatment plan, rehabilitation length, estimated return-to-work status, and MMI/Full Recovery information
• Refer to Vocational Counselors for job analyses when appropriate and approved by the Carrier
• Recommend and coordinate IME physicians and attend IMEs
• Coordinate transportation as needed
• Monitor treatment plans and attend therapy sessions when appropriate
• Maintain contact with therapists for updates
• Request file transfers to Vocational Counselors when appropriate
• Assist Carrier/Insured with modified or regular-duty return-to-work planning
• Provide information to Defense Attorneys as appropriate
• Promote teamwork with all staff members
• Maximize accurate, appropriate billable hours toward the monthly target of 8 hours per day
• Retain responsibility for tasks delegated to non-clinical staff
• Perform additional professional duties as assigned

• Coordinate care and communicate pertinent medical information among the Injured Worker, Insured, and Carrier
• Facilitate appropriate treatment, successful rehabilitation, and return to work
• Deliver efficient, cost-effective communication for work injuries, MVAs, liability claims, LTD/STD, and other referred services
• Follow all policies and procedures in the Case Management plan and retain accountability for the CM process
• Accept referrals assigned by the Director of Case Management
• Make initial contacts, schedule initial assessments, and obtain the next physician appointment date
• Confirm assignments with referral sources and clarify special handling instructions
• Build professional relationships with clients and treat claimants with dignity
• Maintain ongoing communication with the Injured Worker, Insured, and Carrier
• Record data and billing in CaseAnyplace
• Submit timely monthly Preliminary, Initial, Progress, and Closing reports
• Attend physician appointments and obtain diagnosis, prognosis, treatment plan, rehabilitation length, estimated return to work, and MMI/Full Recovery information
• Refer to Vocational Counselors for job analyses when appropriate and approved by the Carrier
• Recommend and coordinate IME physicians and attend IMEs
• Coordinate transportation as needed
• Provide translation as needed for bilingual nurses
• Monitor treatment plans, attend therapy sessions when appropriate, and maintain contact with therapists
• Request file transfers to Vocational Counselors when appropriate
• Assist Carrier/Insured with modified or regular-duty return-to-work planning
• Provide information to Defense Attorneys as appropriate
• Promote teamwork with all staff members
• Maximize accurate, appropriate billable hours per monthly target of 8 hours/day
• Retain responsibility for tasks delegated to non-clinical staff
• Perform additional professional duties as assigned

• Coordinate care and communicate pertinent medical information among the Injured Worker, Insured, and Carrier
• Facilitate appropriate treatment, successful rehabilitation, and return to work
• Deliver efficient, cost-effective communication for work injuries, MVAs, liability claims, LTD/STD, and other referred services
• Follow the Case Management plan and retain accountability for the CM process
• Accept referrals assigned by the Director of Case Management
• Make initial contacts, schedule initial assessments, and obtain physician appointment dates
• Confirm assignments with referral sources and clarify special handling instructions
• Build professional relationships with clients and treat claimants with dignity
• Maintain ongoing communication with the Injured Worker, Insured, and Carrier
• Record data and billing in CaseAnyplace
• Submit timely monthly Preliminary, Initial, Progress, and Closing reports
• Attend physician appointments and obtain diagnosis, prognosis, treatment plan, rehabilitation length, estimated return-to-work status, and MMI/Full Recovery information
• Refer to Vocational Counselors for job analyses when appropriate and approved by the Carrier
• Recommend and coordinate Independent Medical Examinations and attend IMEs
• Coordinate transportation as needed
• Provide translation as needed for bilingual nurses
• Monitor treatment plans and attend therapy sessions when appropriate
• Maintain contact with therapists for updates
• Request file transfers to Vocational Counselors when appropriate
• Assist Carrier/Insured with modified or regular-duty return-to-work planning
• Provide information to Defense Attorneys as appropriate
• Promote teamwork with all staff members
• Maximize accurate, appropriate billable hours toward the monthly target of 8 hours per day
• Retain responsibility for tasks delegated to non-clinical staff
• Perform additional professional duties as assigned

• Coordinate care and communicate pertinent medical information among the Injured Worker, Insured, and Carrier
• Facilitate appropriate treatment, successful rehabilitation, and return to work
• Deliver efficient, cost-effective communication for work injuries, MVAs, liability claims, LTD/STD, and other referred services
• Follow policies and procedures in the Case Management plan and retain accountability for the CM process
• Accept referrals and make initial contacts per the CM plan
• Schedule initial assessments and obtain physician appointment information
• Confirm assignments and clarify special handling instructions
• Build professional relationships with clients and treat claimants with dignity
• Maintain ongoing communication with the Injured Worker, Insured, and Carrier
• Record data and billing in CaseAnyplace
• Submit timely monthly reports
• Attend physician appointments and obtain diagnosis, prognosis, treatment plan, rehabilitation length, estimated return-to-work status, and MMI/full recovery information
• Refer to Vocational Counselors for job analyses when appropriate and approved
• Recommend and coordinate IME physicians and attend IMEs
• Coordinate transportation as needed
• Provide translation as needed for bilingual nurses
• Monitor treatment plans and attend therapy sessions when appropriate
• Maintain contact with therapists for updates
• Request file transfers to Vocational Counselors when appropriate
• Assist with modified or regular-duty return-to-work planning
• Provide information to Defense Attorneys as appropriate
• Promote teamwork with staff members
• Maximize accurate, appropriate billable hours toward the monthly target of 8 hours per day
• Retain responsibility for tasks delegated to non-clinical staff
• Perform additional professional duties as assigned

Administrative Assistant

• Provide administrative and case management support to Case Management and operations staff
• Receive calls from providers, claimants, attorneys, and accounts; gather information or forward calls appropriately
• Generate and process TCM and FBCM correspondence according to departmental policies and procedures
• Prepare case management letters and reports received by email or fax
• Create letters within 24–48 hours of receiving a case manager’s request
• Receive medical records and information, enter them into CASEANYPLACE, and forward them to the case manager
• Enter and send introduction letters, professional authorization letters, visit confirmation letters, medical record requests, and other necessary documents
• Contact adjusters as directed by the Case Manager
• Enter daily billable time and notes in CASEANYPLACE
• Perform other assigned administrative assistant duties