RN Telephonic Case Manager

🕒 Fevereiro 27

🐊 Florida – Remoto

🐊 Florida – Remote

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

👔 Gerente

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Acrisure

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 2013

💸 Finanças

Finance • Insurance

A Acrisure é uma empresa que oferece uma ampla gama de soluções em serviços financeiros, seguros e gestão de riscos. Seus serviços incluem seguros pessoais, hipotecas, seguros empresariais e benefícios para funcionários, além de cibersegurança e recursos de TI gerenciados. A Acrisure é reconhecida por expandir suas capacidades de resseguros internacionalmente e por receber prêmios como "Corretora do Ano". A empresa também está engajada em ações comunitárias e parcerias, como com o Pittsburgh Steelers. A Acrisure está comprometida em oferecer soluções inovadoras e manter uma forte liderança no setor.

Descrição

• working closely with treating physicians/providers, employers, claim representatives, legal representatives, and the injured/disabled person to create and implement safe and effective Return to Work plans • facilitate appropriate and cost-effective medical services to achieve maximum medical improvement and recovery. • Adhere to ethical guidelines and best practice standards, ensuring quality of care. • Collaborate telephonically and in writing with claims representatives, employer when applicable, and healthcare providers to achieve optimal return to work and claim outcomes • Facilitate telephonic and written communication and coordination with all appropriate parties • Maintain regular, frequent telephonic and written contact with patients throughout the claim assignment • Involve patients in decision-making and encourage their appropriate use of healthcare services to maximize health outcomes and maintain cost-effectiveness. • Assess patient needs, provide support and advocacy, promote self-advocacy and self-determination • Assist in safe transitioning of care, and resolve problems using multidisciplinary strategies. • Maintain accurate documentation of case management services in client records • Uphold patient confidentiality and adhere to HIPAA standards. • Ensure quality of care by adhering to standards, measuring outcomes, making necessary adjustments, and following ethical guidelines. • Reflect the company’s philosophy by demonstrating ardent customer service-related results. • Maintain professional and industry knowledge through continuous learning, networking, and participation in professional activities. • Manage assigned workload independently, prioritizing cases, evaluating progress, and modifying goals to improve treatment effectiveness and claim outcomes. • Perform other duties as assigned.

🎯 Requisitos

• Current, active, and unrestricted RN Compact license • Additional RN licensure from CA, TN, NC or NY strongly preferred • Certification in the case management field strongly preferred. • Two or more years’ full-time work providing direct clinical care • Experience in worker's comp case management, occupational nursing, or related field preferred • Associate degree or bachelor’s degree in nursing • Bilingual (Spanish speaking) is strongly preferred • Able to think critically and strategically to accomplish case goals • Excellent interpersonal skills, and customer service focused • Assertive and proactive in approach and communications • Maintains confidence and tact in difficult discussions and collaborations to achieve positive outcomes • Possesses strong organizational, task prioritization, and delegation skills • Demonstrates technical proficiency in Microsoft Office products and ability to learn new software • Ability to maintain accurate records, prepare reports, correct English usage, and maintain confidentiality • Ability to construct grammatically correct reports using standard medical terminology • Ability to use a computer keyboard and mouse up to 8 or more hours per day.

🏖️ Benefícios

• Comprehensive medical insurance, dental insurance, and vision insurance • life and disability insurance • fertility benefits • wellness resources • and paid sick time. • Generous paid time off and holidays • Employee Assistance Program (EAP) • and a complimentary Calm app subscription. • Immediate vesting in a 401(k) plan • Health Savings Account (HSA) and Flexible Spending Account (FSA) options • commuter benefits • and employee discount programs. • Paid maternity leave and paid paternity leave (including for adoptive parents) • legal plan options • and pet insurance coverage.