Nurse Case Manager

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🔥 1 minute ago

🏈 Alabama – Remote

🏈 Alabama – Remote

💵 $78k - $83k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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MDD Forensic Accountants

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1933

💸 Finance

Finance • Insurance • Consulting

MDD Forensic Accountants is a forensic accounting firm specializing in business valuations, shareholder disputes, and economic damage quantification. With over 40 offices globally, MDD provides expertise across a wide range of industries, delivering services to insurance companies, law firms, governments, and individuals. Their services include business interruption, lost profits, fraud investigations, and more, making them a trusted advisor for sound financial decision-making.

📋 Description

• Provide telephonic case management for Workers’ Compensation cases. • Assess medical appropriateness of treatment plans and coordinate services to optimize recovery and cost efficiency. • Develop, implement, and modify individualized case management care plans. • Perform ongoing clinical assessments and review medical records to ensure quality and timely care. • Identify and address barriers to recovery with proactive action planning. • Coordinate communication between injured workers, employers, providers, insurers, and other stakeholders. • Promote and document return-to-work capability at each medical milestone. • Ensure compliance with state-mandated treatment guidelines, nationally published protocols, and client requirements. • Track outcomes including patient satisfaction, return-to-work progress, and disability duration. • Utilize utilization review tools when indicated (pre-certification, concurrent review, retrospective review, medical director review). • Monitor provider and vendor performance to ensure quality and appropriate care delivery. • Maintain detailed and accurate documentation within the case management system. • Serve as a patient advocate while adhering to all legal, ethical, accreditation, and regulatory standards. • Participate in Quality Assurance, Grievance, or other committees as assigned. • Provide training or mentorship to claims staff or junior team members as appropriate. • Perform additional duties as assigned.

🎯 Requirements

• Active, unrestricted RN license. • Minimum 3 years of clinical experience (medical-surgical, orthopedic, neurological, ICCU, industrial, ER, or occupational health). • Workers’ Compensation case management experience preferred. • Strong knowledge of treatment guidelines and utilization management principles. • Excellent verbal and written communication skills. • Ability to work independently in a remote environment. • Proficiency in computer systems and claims/case management software. • Telephonic case management experience. • Experience applying evidence-based disability duration guidelines. • Prior experience training or mentoring staff.

🏖️ Benefits

• Medical, dental, and vision plans to support your health and that of your family • A 401(k) plan with employer matching • Time‑off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non‑exempt employees • Paid holidays • Life insurance and short‑term and long‑term disability coverage • Paid sick leave, paid family and parental leave, and other mandated benefits