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Acrisure · 1 day ago

RN Telephonic Case Manager

1301 6th Ave W - BRADENTON, FL

Full-time

Onsite

Entry, Mid Level

2+ years exp

Acrisure is a fast-growing company focused on providing quality service as a trusted adviser to clients. The Telephonic Nurse Case Manager will work closely with various stakeholders to create and implement effective Return to Work plans and facilitate medical services for injured or disabled individuals.

Financial ServicesInsuranceInsurTech

Responsibilities

Demonstrate and apply knowledge of case management standards, injuries, medications, treatment options, and job duties to advise on and implement treatment plans

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, always prioritizing patient needs

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

Maintain state license(s) and certifications required for this role

Manage assigned workload independently, prioritizing cases, evaluating progress, and modifying goals to improve treatment effectiveness and claim outcomes

Perform other duties as assigned

Qualification

RN licenseCase management certificationClinical care experienceMicrosoft Office proficiencyBilingual in English/SpanishCustomer service focusCritical thinkingInterpersonal skillsOrganizational skillsConfidentiality adherence

Required

Current, active, and unrestricted RN license

Two or more years' full-time work providing direct clinical care

Associate degree or bachelor's degree in nursing

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

Full-time, work from home position that can be located anywhere in the U.S

Ability to work normal business hours for assigned jurisdiction(s)

Must have dedicated home office space that ensures privacy with access to reliable high-speed internet

While performing the duties of this position, the employee is required to walk, stand, bend, kneel, stoop, communicate, reach, and manipulate objects

Duties involve moving materials weighing up to 10 pounds on a regular basis such as files, books, office equipment, etc., and may infrequently require moving materials weighing up to 30 pounds

Manual dexterity and coordination are required while operating equipment such as computer keyboard, calculator, and standard office equipment

Preferred

Compact license preferred

Certification in the case management field preferred. Recognized certifications include CCM (Preferred) A-CCC, CCM, CDMS, CMAC, CMC, CRC, CRRN, and COHN

Experience in worker's comp case management, occupational nursing, or related field preferred

Bilingual in English/ Spanish strongly preferred