Workers Compensation Telephonic Nurse Case Manager

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🔥 1 hour ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $83k - $88k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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W. R. Berkley Corporation

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1967

🛡️ Insurance

💸 Finance

🤝 B2B

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.

📋 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 • Communicate timely and comprehensively with employers, adjusters and injured workers • Assess appropriate utilization of medical treatment and services through contact with physicians and other specialists to ensure cost-effective quality care • Review and analyze medical records and assess data to ensure appropriate case management and recommend actions to achieve case progress and closure • Manage assigned caseloads, which may vary by number, territory and/or state jurisdiction • Coordinate home services, durable medical equipment, IMEs, admissions, discharges and vocational services when appropriate, evaluating cost effectiveness and quality • Document activities and case progress using appropriate methods and tools following best practices for quality improvement • Review job analyses/job descriptions with providers and coordinate with employers to facilitate return to work • Participate in special projects assigned by the case management leadership team • Occasionally attend onsite meetings and professional programs • Foster a teamwork environment • Maintain and update evidence-based medical guidelines in reference to injured-worker treatment plans and work status • Earn continuing education units to maintain certifications and licensures

🎯 Requirements

• Minimum 2 years of experience in workers compensation insurance and medical case management preferred • Minimum of 4 years medical/surgical clinical experience required • Ability to work Pacific Standard Time business hours • California RN license greatly preferred • 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 • Graduate of an accredited school of nursing • Possess a current RN license • RN compact license preferred • CCM preferred • Bachelor of Nursing preferred • Domestic U.S. travel required (up to 10% of time) • Obtain case management professional certification (CCM) within 2 years of hire date • Obtain and maintain applicable state certifications and/or licensures in the state where job duties are performed • Acquire and maintain nursing licensure for all jurisdictions as business needs require

🏖️ Benefits

• Health • Dental • Vision • Life • Disability • Wellness • Paid Time Off • 401(k) • Profit-Sharing plans • Competitive compensation plan • Robust benefits package

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