Disability Vocational Case Manager
CIGNA Corporation (Anaheim/Huntington Beach, California)

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Description: Vocationally manages and/or assesses cases to facilitate the return of ill/injured persons to productive lifestyles in an efficient cost effective and timely manner. Interacts with physicians, adjusters, employers and employees to determine current medical status and future needs. Facilitates and expedites recovery and return to work. Analyzes and evaluates medical and return-to work information so that an assessment with recommendations and goals can be established to optimize case outcome.

Case management services are performed through field based (FCM) services.

Proposes and implements a cost effective vocational case management plan to the referral source in the form of an initial report produced via personal computer. Modifies plan as needed based on case progress. Requires ability to negotiate with multiple parties.

Coordinates and implements the approved plan to successful completion and reports on the status via a progress/re-assessment report produced on the personal computer. Follow-up and evaluation of persons success relative to case plan; re-assessing case plan as necessary to ensure successful outcomes

Demonstrates appropriate outcomes measured during the life of a case against long and short-term goals; outcomes are summarized at the time of case closure the aim to maximize the persons outcomes and maximize medical status and return to work status. The aim is to return the person, as close as possible, to his/her pre-illness/pre-injury status.

Utilizes vocational tools and software to assess transferable skills, transitional jobs, labor market data, etc.

Maintains accurate records of each case including billing, savings and demographic data.

Requires knowledge of ethics, rights to privacy, confidentiality and advocacy for the ill/injured person; knowledge of community resources, ADA, HIPPA and appropriate legislation required; ability to negotiate

Adheres to established quality standards and customer special instructions.

Establishes and maintains professional, collaborative relationships with providers, employers and customers

Ability to interact with local sales and/or account managers as appropriate to meet customer needs. Participates in customer visits as needed.

Travel is required to expedite case management activities.

*Caseloads vary depending on client need and case complexity; average caseload size for a FT FCM is 25-30. Qualifications: Desired Qualifications:

Masters degree or higher in vocational rehabilitation, guidance and counseling, social work, human services, sociology or related area highly desired, with appropriate state licensure (i.e., licensed professional counselor, licensed social worker, licensed rehabilitation counselor) when required.

Certification:

Certification is recommended and professionally encouraged. Approved certifications include Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), and/or Certified Rehabilitation Counselor (CRC). Certified Vocational Evaluator (CVE), Certified Work Adjustment Vocational Evaluator (CWAVE) or member of the American Board of Vocational Analysts (ABVA) will be considered.

Knowledge and Experience:

Staff must have three years case management experience working with defined population groups in a human service setting. Five years experience working in a disability compensation system such as workers' compensation, short or long term disability is preferred.

Staff must practice within the scope of any licensure, if required, and certification. Licensure and certification must be kept current.

Understanding of job placement techniques and transferable skills analysis is recommended.

Bilingual English/Spanish highly preferred.

Additional Competencies

Computer Skills - Demonstrates ability to us MS Office Suite applications, data entry experience and ability to troubleshoot PC issues and communicate with an internal or external technical person at the Help Desk to solve computer/data communications problems.

Organization and Priority Setting - Able to orchestrate multiple activities at once to accomplish a goal; uses resources effectively and efficiently; accurately scopes out length and difficulty of tasks and then anticipates and adjusts for problems and roadblocks. Spends own time and others on what is important; quickly identifies critical issues; eliminates roadblocks; creates focus.

Decision-Making - Makes good decisions based upon a mixture of analysis, experience and judgment.

Ability to Work Autonomously with only remote supervision.

Jurisdictional and legislative issues - basic understanding of jurisdictional and legislative issues that affect the delivery of case management services

Knowledge of Community Services - for the geographical area being served/knowledge of how to locate services in new geographical areas. Salary/Benefits: Salary commensurate with experience CIGNA offers a competitive compensation and comprehensive benefits package including health and wellness benefits, 401k plan, and work/life balance programs, as well as opportunities for career growth and development. Job Location: ORANGE COUNTY, CA Job Number: 56835 Company URL: http://www.CIGNA.com Company Profile: At CIGNA, we are committed to providing our customers with employee benefits, expertise and services that improve the health, well-being and productivity of their employees. CIGNA's people are the key to our success in a changing and increasingly competitive marketplace. The collective skills, behaviors and work experiences of all CIGNA employees enable us to make a real difference in the lives of our members. We seek the most talented and creative minds in the industry to develop innovative solutions our customers value and consumers expect.