Workers' Compensation Case Manager

🔥 8 minutes ago

🗣️🇪🇸 Spanish Required

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Logo of Acrisure

Acrisure

10,000+ employees

Founded 2013

💸 Finance

Finance • Insurance

Acrisure is a company that provides a wide range of insurance, risk management, and financial services solutions. They offer personal insurance, mortgages, business insurance, and employee benefit services, as well as cybersecurity and managed IT resources. Acrisure is known for expanding their reinsurance capabilities internationally and has garnered recognition such as the 'Broker of the Year' award. The company is also involved in community outreach and partnerships, such as with the Pittsburgh Steelers. Acrisure is committed to delivering innovative solutions and maintaining strong industry leadership.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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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