Workers Compensation Telephonic Nurse Case Manager

Job not on LinkedIn

🔥 15 hours ago

🎸 Tennessee – Remote

🎸 Tennessee – 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 with employers, adjusters and injured workers • Assess 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, varying by number, territory and/or state jurisdiction • Acquire and maintain nursing licensure for jurisdictions as business needs require • Coordinate home services, durable medical equipment, IMEs, admissions, discharges and vocational services, evaluating cost-effectiveness and quality • Document activities and case progress using appropriate methods and tools following quality-improvement best practices • Review job analyses/descriptions with providers and employers to coordinate disability case management and return to work • Participate in special projects assigned by case management leadership • Occasionally attend on-site meetings and professional programs • Maintain and update evidence-based medical guidelines and state-regulated guidelines for treatment plans and work status • Obtain and maintain applicable state certifications and/or licensures • Obtain case management professional certification (CCM) within 2 years of hire • Earn continuing education units to maintain certifications and licensures • Foster a teamwork environment

🎯 Requirements

• Minimum 2 years of experience in workers compensation insurance and medical case management preferred • Ability to work Pacific Standard Time business hours • California RN license greatly 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 • Graduate of an accredited school of nursing and 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) • Sponsorship not Offered for this Role

🏖️ Benefits

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

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