Case Manager

Kelly; Orlando (FL); On-site; USD 65,000 - 85,000; Full time

Benefits offered by this job

Medical/dental/vision plans

Life and accident insurance

401(K) and Roth options

Tax-advantaged accounts (HSA, FSA)

Educational expense reimbursement

Paid parental leave

Digital mental health services (Talksp

Flexible work hours

Training programs

Gallagher Thrive program

Charitable matching gift program

Job summary

Kelly in Orlando region is seeking a qualified nurse case manager to provide medical management for workers' compensation cases. The role covers Altamonte Springs with travel up to two hours, coordinating evaluation, treatment, and return-to-work plans with physicians and employers.

You will maintain a caseload, document plans, communicate with referral sources, and generate reports. The ideal candidate has nursing or medical degree and active license, plus 2–4 years' experience and proficiency

Qualifications

• Nursing or medical degree with an active RN license or medical license in applicable state(s).
• 2-4 years of work experience.
• Must be able to travel within approximately a 2 hour radius.
• Intermediate to advanced computer skills; Microsoft Office, Outlook, etc.

Responsibilities

• Coordinating medical evaluation and treatment.
• Meeting with physician and injured worker to discuss treatment plan and goals for return to work.
• Keeping employer and referral source updated regarding medical treatment and work status.
• Coordinating ancillary services, home health, durable medical equipment, and physical therapy.
• Communicates with employers to determine job requirements and explore modified or alternate employment.
• Discusses treatment results with physician and injured worker using Evidence Based Guidelines to ensure effective outcomes.
• Documents case management observations, assessment, and plan.
• Generates reports for referral source to communicate case status and recommendations.
• Generates ongoing correspondence to referral source, employer, medical providers, injured worker, and other participants.
• May participate in telephonic case conferences.
• Maintains a minimum caseload of 35 files and 150 monthly billable hours with 95% quality compliance.

Skills

Microsoft Office

Outlook

Communication skills

Time management

Education

Nursing degree

RN license

Medical license (where applicable)

Job description

Overview

Provides medical management to workers compensation injured employees, performing case management through telephonic and in-person contact with injured workers and medical providers. Coordinates with employers and claims professionals to manage medical care in order to return injured employee to work. This position will cover the Altamonte Springs area with a travel radius of up to 2 hours.

How you'll make an impact

Key Responsibilities

• Coordinating medical evaluation and treatment
• Meeting with physician and injured worker to collaborate on treatment plan and to discuss goals for return to work
• Keeping employer and referral source updated regarding medical treatment and work status
• Coordinating ancillary services, home health, durable medical equipment, and physical therapy
• Communicates with employers to determine job requirements and to explore modified or alternate employment
• Discusses and evaluates results of treatment plan with physician and injured worker using Evidence Based Guidelines to ensure effective outcome
• Documents case management observations, assessment, and plan
• Generates reports for referral source to communicate case status and recommendations
• Generates ongoing correspondence to referral source, employer, medical providers, injured worker, and other participants involved in the injured worker's treatment plan
• May participate in telephonic case conferences
• Maintains a minimum caseload of 35 files, and 150 monthly billable hours, with minimum 95% quality compliance

About You

• Required: Nursing or medical degree from an accredited institution with an active Registered Nursing license or medical license within the state of practice or states in which case management is performed
• 2-4 years of work experience
• Responsible for completing required and applicable training, in order to maintain proficiency and licensing requirements
• Able to travel to appointments within approximately a 2 hour radius
• Intermediate to advanced computer skills; Microsoft Office, Outlook, etc.
• Desired: Bachelor's degree preferred
• Work's Compensation experience is preferred
• Certification in related field preferred
• 1-3 years of clinical experience preferred

Work Traits

• Demonstrates adequate knowledge of managed care with emphasis on use of criteria, guidelines and national standards of practice
• Advanced written and oral communication skills, along with organizational and leadership skills
• Self-directed and proactively manage assigned case files
• Demonstrates strong time management skills

Compensation and benefits

We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits.

• Medical/dental/vision plans, which start from day one!
• Life and accident insurance
• 401(K) and Roth options
• Tax-advantaged accounts (HSA, FSA)
• Educational expense reimbursement
• Paid parental leave
• Digital mental health services (Talkspace)
• Flexible work hours (availability varies by office and job function)
• Training programs
• Gallagher Thrive program - elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing
• Charitable matching gift program
• And more...

The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process.