RN Telephonic Case Manager

🕒 vor 3 Monaten

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Vollzeit

🟢 Junior

🟡 Mittelstufe

👔 Manager

🦅 H1B-Visum-Sponsor

Dieses Unternehmen hat in der Vergangenheit H1B-Visa gesponsert.

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Acrisure

WebsiteLinkedInAlle Stellen

10.000+ Mitarbeiter

Gegründet 2013

💸 Finanzen

Finance • Insurance

Acrisure ist ein Unternehmen, das eine breite Palette von Versicherungen, Risikomanagement- und Finanzdienstleistungen anbietet. Sie bieten Privatversicherungen, Hypotheken, Gewerbeversicherungen und Dienstleistungen für Mitarbeiterleistungen sowie Cybersecurity- und Managed-IT-Ressourcen an. Acrisure ist bekannt dafür, seine Rückversicherungskapazitäten international auszubauen und wurde unter anderem mit dem 'Broker of the Year'-Award ausgezeichnet. Das Unternehmen engagiert sich auch im Bereich der Gemeinschaftsarbeit und Partnerschaften, etwa mit den Pittsburgh Steelers. Acrisure verpflichtet sich, innovative Lösungen zu liefern und starke Branchenführung zu bewahren.

Beschreibung

• working closely with treating physicians/providers, employers, claim representatives, legal representatives, and the injured/disabled person to create and implement safe and effective Return to Work plans • facilitate appropriate and cost-effective medical services to achieve maximum medical improvement and recovery. • Adhere to ethical guidelines and best practice standards, ensuring quality of care. • Collaborate telephonically and in writing with claims representatives, employer when applicable, and healthcare providers to achieve optimal return to work and claim outcomes • Facilitate telephonic and written communication and coordination with all appropriate parties • Maintain regular, frequent telephonic and written contact with patients throughout the claim assignment • Involve patients in decision-making and encourage their appropriate use of healthcare services to maximize health outcomes and maintain cost-effectiveness. • Assess patient needs, provide support and advocacy, promote self-advocacy and self-determination • Assist in safe transitioning of care, and resolve problems using multidisciplinary strategies. • Maintain accurate documentation of case management services in client records • Uphold patient confidentiality and adhere to HIPAA standards. • Ensure quality of care by adhering to standards, measuring outcomes, making necessary adjustments, and following ethical guidelines. • Reflect the company’s philosophy by demonstrating ardent customer service-related results. • Maintain professional and industry knowledge through continuous learning, networking, and participation in professional activities. • Manage assigned workload independently, prioritizing cases, evaluating progress, and modifying goals to improve treatment effectiveness and claim outcomes. • Perform other duties as assigned.

🎯 Anforderungen

• Current, active, and unrestricted RN Compact license • Additional RN licensure from CA, TN, NC or NY strongly preferred • Certification in the case management field strongly preferred. • Two or more years’ full-time work providing direct clinical care • Experience in worker's comp case management, occupational nursing, or related field preferred • Associate degree or bachelor’s degree in nursing • Bilingual (Spanish speaking) is strongly preferred • Able to think critically and strategically to accomplish case goals • Excellent interpersonal skills, and customer service focused • Assertive and proactive in approach and communications • Maintains confidence and tact in difficult discussions and collaborations to achieve positive outcomes • Possesses strong organizational, task prioritization, and delegation skills • Demonstrates technical proficiency in Microsoft Office products and ability to learn new software • Ability to maintain accurate records, prepare reports, correct English usage, and maintain confidentiality • Ability to construct grammatically correct reports using standard medical terminology • Ability to use a computer keyboard and mouse up to 8 or more hours per day.

🏖️ Vorteile

• Comprehensive medical insurance, dental insurance, and vision insurance • life and disability insurance • fertility benefits • wellness resources • and paid sick time. • Generous paid time off and holidays • Employee Assistance Program (EAP) • and a complimentary Calm app subscription. • Immediate vesting in a 401(k) plan • Health Savings Account (HSA) and Flexible Spending Account (FSA) options • commuter benefits • and employee discount programs. • Paid maternity leave and paid paternity leave (including for adoptive parents) • legal plan options • and pet insurance coverage.