Workers' Compensation Case Manager

🕒 2 dias atrás

🐊 Florida – Remoto

info

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

🦅 Patrocina Visto H1B

info

🗣️🇺🇸🇬🇧 Inglês obrigatório

🗣️🇪🇸 Espanhol obrigatório

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Acrisure

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

• Manage telephonic case management for workers’ compensation claims, including assessment, care coordination, and ongoing case oversight • Collaborate with injured workers, healthcare providers, employers, claims representatives, and legal partners to support treatment plans and recovery outcomes • Evaluate treatment plans and provide guidance based on clinical knowledge and case management best practices • Facilitate return to work planning and monitor progress toward recovery goals • Maintain frequent telephonic and written communication with all involved parties throughout the life of the claim • Advocate for appropriate and cost effective care while supporting positive health outcomes • Maintain accurate, timely, and compliant documentation of all case activity • Identify barriers to recovery and implement strategies to improve outcomes • Ensure compliance with regulatory requirements, company standards, and HIPAA guidelines • Manage assigned caseload independently, prioritizing work and adjusting plans as needed

🎯 Requisitos

• Strong understanding of workers’ compensation processes, case management practices, and return to work coordination • Ability to manage a high volume caseload in a structured, metrics driven environment • Strong communication skills with the ability to navigate complex and sensitive conversations • Proficiency with Microsoft Office and ability to work effectively in a remote setting using multiple systems and screens • Demonstrated ability to work independently while maintaining productivity and quality standards • Strong organizational skills and ability to manage competing priorities • Positive, adaptable mindset with the ability to work effectively in a fast paced environment • Bilingual (Spanish speaking) skills are highly beneficial • Active Registered Nurse (RN) license required • One of the following required: CCM, CDMS, COHN, or CRRN • Associate or bachelor’s degree in nursing or a related clinical field • Compact RN license beneficial • Additional state licenses, including CA, NY, MA, IL, OR, NV, MI, HI, MD, or DC, would be useful

🏖️ Benefícios

• Comprehensive medical insurance, dental insurance, and vision insurance • Life and disability insurance • Fertility benefits • Wellness resources • Paid sick time • Generous paid time off and holidays • Employee Assistance Program (EAP) • Complimentary Calm app subscription • Immediate vesting in a 401(k) plan • Health Savings Account (HSA) and Flexible Spending Account (FSA) options • Commuter benefits • Employee discount programs • Paid maternity leave and paid paternity leave (including for adoptive parents) • Legal plan options • Pet insurance coverage

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