Workers Compensation Telephonic Nurse Case Manager

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🕒 Ontem

🐊 Florida – Remoto

🐊 Florida – Remote

💵 $83.000 - $88.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

👻 Score fantasma 0%

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• Aberta há 1 dia.
• As vagas desta empresa costumam ser preenchidas em 53 dias.

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W. R. Berkley Corporation

SiteLinkedInTodas as Vagas

5001 - 10000 funcionários

Fundada em 1967

🛡️ Seguros

💸 Finanças

🤝 B2B

Insurance • Finance • B2B

A W. R. Berkley Corporation é uma empresa líder em seguros que opera através de mais de 55 negócios, fornecendo uma ampla gama de soluções de seguros para clientes comerciais e individuais de alto patrimônio. Com profunda expertise em várias indústrias, a Berkley se especializa na oferta de produtos de seguro personalizados que atendem a mercados de nicho. A empresa enfatiza sólidas parcerias com agentes e corretores para oferecer cobertura para riscos únicos e necessidades emergentes, garantindo proteção abrangente para seus clientes.

Descrição

• Assess, plan, coordinate, monitor, evaluate and implement options and services to facilitate timely medical care and return to work outcomes of injured workers • Coordinate and implement medical case management to facilitate case closure • Communicate timely and comprehensively with employers, adjusters and injured workers • Assess appropriate utilization of medical treatment and services through contact with physicians and other specialists to ensure cost-effective quality care • Review and analyze medical records and assess data to ensure appropriate case management and recommend actions to achieve case progress and closure • Manage assigned caseloads, which may vary by number, territory and/or state jurisdiction • Coordinate home services, durable medical equipment, IMEs, admissions, discharges and vocational services when appropriate, evaluating cost effectiveness and quality • Document activities and case progress using appropriate methods and tools following best practices for quality improvement • Review job analyses/job descriptions with providers and coordinate with employers to facilitate return to work • Participate in special projects assigned by the case management leadership team • Occasionally attend onsite meetings and professional programs • Foster a teamwork environment • Maintain and update evidence-based medical guidelines in reference to injured-worker treatment plans and work status • Earn continuing education units to maintain certifications and licensures

🎯 Requisitos

• Minimum 2 years of experience in workers compensation insurance and medical case management preferred • Minimum of 4 years medical/surgical clinical experience required • Ability to work Pacific Standard Time business hours • California RN license greatly preferred • Exhibit strong communication skills, professionalism, flexibility and adaptability • Possess working knowledge of medical and vocational resources available to the Workers’ Compensation industry • Demonstrate evidence of self-motivation and the ability to perform case management duties independently • Demonstrate evidence of computer and technology skills • Graduate of an accredited school of nursing • Possess a current RN license • RN compact license preferred • CCM preferred • Bachelor of Nursing preferred • Domestic U.S. travel required (up to 10% of time) • Obtain case management professional certification (CCM) within 2 years of hire date • Obtain and maintain applicable state certifications and/or licensures in the state where job duties are performed • Acquire and maintain nursing licensure for all jurisdictions as business needs require

🏖️ Benefícios

• Health • Dental • Vision • Life • Disability • Wellness • Paid Time Off • 401(k) • Profit-Sharing plans • Competitive compensation plan • Robust benefits package

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