RN Telephonic Nurse Case Manager

Job not on LinkedIn

🕒 Yesterday

🏈 Alabama – Remote

🏈 Alabama – Remote

💵 $75k - $80k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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

• Manage a caseload of Workers’ Compensation claims through telephonic case management services • Conduct comprehensive initial and ongoing assessments of injured employees’ medical status, treatment progress, and recovery needs • Develop, implement, and monitor individualized case management plans to promote optimal medical outcomes. • Review medical records, treatment recommendations, and clinical information to determine appropriateness of care. • Identify barriers to recovery and develop action plans to facilitate progress toward recovery and return-to-work goals. • Monitor adherence to evidence-based treatment guidelines, utilization criteria, and regulatory requirements. • Evaluate treatment plans and document clinical outcomes, recovery progress, and return-to-work milestones. • Act as a liaison among injured employees, employers, healthcare providers, insurers, attorneys, and other authorized stakeholders. • Facilitate effective communication to ensure alignment on treatment plans, recovery goals, and return-to-work expectations. • Establish and maintain strong client relationships through professional service and responsive communication. • Serve as a patient advocate while maintaining compliance with legal, ethical, and regulatory standards. • Address return-to-work capabilities with injured employees and treating providers during ongoing case reviews. • Collaborate with employers and providers to support transitional or modified duty opportunities when appropriate. • Obtain and review job descriptions to assist providers in evaluating work capacity and restrictions. • Promote timely and medically appropriate return-to-work outcomes. • Maintain accurate, timely, and comprehensive case documentation within designated systems. • Ensure compliance with state Workers’ Compensation regulations, client requirements, and company policies. • Protect confidential medical information in accordance with HIPAA and applicable privacy regulations. • Support utilization review processes, including pre-authorization, concurrent review, retrospective review, and medical director referrals as needed. • Monitor provider and vendor performance to ensure quality service delivery. • Identify opportunities for process improvement and operational efficiencies. • Participate in quality assurance, grievance, and other organizational committees as assigned. • Provide clinical education and support to internal staff and stakeholders when appropriate. • Assist with training, mentoring, or guidance of less experienced team members as requested. • Perform other duties as assigned.

🎯 Requirements

• Minimum three (3) years of clinical nursing experience in one or more of the following areas: • - Medical-Surgical • - Orthopedics • - Neurology • - Critical Care/ICCU • - Emergency Room • - Occupational Health • - Industrial Nursing • Workers’ Compensation case management experience preferred. • Telephonic case management experience preferred. • Current, unrestricted Registered Nurse (RN) license in the applicable state(s). • Ability to maintain active licensure throughout employment. • Strong clinical assessment and critical thinking skills. • Knowledge of Workers’ Compensation processes, regulations, and medical case management principles. • Understanding of evidence-based treatment guidelines and disability management practices. • Ability to manage multiple priorities independently in a fast-paced environment. • Strong organizational and time-management skills. • Excellent verbal and written communication skills. • Ability to build collaborative relationships with diverse stakeholders. • Strong customer service orientation and professionalism. • Proficiency with Microsoft Office applications and case management software systems. • Ability to maintain confidentiality and exercise sound clinical judgment. • Minimal travel may be required based on business needs.

🏖️ 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 in accordance with applicable state and local requirements