Nurse Case Manager – Telephonic

Job not on LinkedIn

November 25

🍂 Massachusetts – Remote

Although this job is listed in Massachusetts, this company may be open to hiring remote in other states.

💵 $80k - $88k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

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W. R. Berkley Corporation

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Insurance • Finance • B2B

W. R. Berkley Corporation is a leading insurance company that operates through over 55 businesses, providing a wide range of insurance solutions for both commercial and high-net-worth individual clients. With deep expertise in various industries, Berkley specializes in offering tailored insurance products that cater to niche markets. The company emphasizes strong partnerships with agents and brokers to deliver coverage for unique risks and emerging needs, ensuring comprehensive protection for its customers.

5001 - 10000 employees

Founded 1967

💸 Finance

🤝 B2B

📋 Description

• 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. • Timely and comprehensive communication with employers, adjusters and the injured workers. • Assess appropriate utilization of medical treatment and services available through contact with physicians and other specialist to ensure cost effective quality care. • Review and analyze medical records and assess data to ensure appropriate case management process occurs while providing recommendations to achieve case progress and movement to closure. • Responsible for assigned caseloads, which may vary in numbers, territory and/or by state jurisdiction. • Acquire and maintain nursing licensure for all jurisdictions as business needs require. • Coordinate services to include home services, durable medical equipment, IMEs, admissions, discharges, and vocational services when appropriate and evaluate cost effectiveness and quality of services. • Document activities and case progress using appropriate methods and tools following best practices for quality improvement. • Reviewing job analysis/job description with all providers to coordinate and implement disability case management.

🎯 Requirements

• Minimum 2 years of experience in workers compensation insurance and medical case management preferred • Minimum of 4 years medical/surgical clinical experience required • 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 • Oral and written fluency in both Spanish and English a plus

🏖️ Benefits

• Health • Dental • Vision • Life • Disability • Wellness • Paid Time Off • 401(k) • Profit-Sharing plans