Medical Case Manager

FCCI Insurance Group; Allen (TX); Hybrid; USD 62,000 - 96,000; Full time

Benefits offered by this job

Flexible Work Environment

Paid Family Leave

Competitive PTO & Holidays

Recognition & Bonus Programs

Medical, Vision, Dental & Life

Employee Referral Bonus

Paid Volunteer Time

401(k) Match & Profit-Sharing

Job summary

FCCI Insurance Group is seeking a licensed Registered Nurse to provide telephonic case management on assigned workers’ compensation claims. This role involves coordinating medical care and developing plans for injury resolutions while collaborating closely with adjusters.

The position offers flexibility with hybrid work arrangements from the home office or regional offices, and includes a competitive benefits package along with a salary range of $62,419-$96,126 annually based on qualifications.

Qualifications

• Must be a licensed Registered Nurse.
• Experience in telephonic case management on workers' compensation claims.
• Ability to evaluate medical necessity and monitor treatment progress.

Responsibilities

• Provide telephonic case management for workers' compensation claims.
• Develop initial plans for timely resolution of injuries.
• Collaborate with adjusters for care resolution.

Skills

Critical thinking skills

Telephonic case management

Coordination of medical care

Alternative care recommendations

Education

Licensed Registered Nurse

Job description

FCCI is guided by our core values of Loyalty, Integrity, Vision, Excellence and Service. These are the principles and behaviors that guide how we support and trust one another, build our teams, cultivate leaders and create a company that feels like family. If these are your values, we’d like you to join our team.

We are seeking a licensed Registered Nurse to provide telephonic case management on assigned workers’ compensation claims. The selected new hire will provide coordination and evaluation of medical care to assigned caseload for the purpose of expediting claims handling. He/she will assist with oversight of necessary cost-effective quality medical treatment and work collaboratively with the adjuster for resolution of injury and/or return to work. In addition, this person will develop an initial plan outlining the action the case manager will take to ensure timely resolution of injury(s) through utilization of established guidelines to determine appropriate medical treatment, evaluate medical necessity in conjunction with the adjuster, and monitor progress/response to treatment. Utilize your medical expertise and critical thinking skills to make recommendations on alternative care pursuant to review and research conducted utilizing nationally accepted practice parameters.

This position can be hybrid and based out of our home office in Sarasota, FL, any of our regional offices, or remote.

In exchange for your talents, FCCI offers competitive salaries and an excellent benefits package which includes:

• Flexible Work Environment
• Paid Family Leave
• Competitive PTO & Holidays
• Recognition & Bonus Programs
• Medical, Vision, Dental & Life Insurance
• Employee Referral Bonus
• Paid Volunteer Time
• 401(k) Match & Profit-Sharing

The salary range for this position is $62,419-$96,126 annually. This salary range is an estimate and the actual salary will vary based on applicant’s education, experience, knowledge, skills, and abilities.

We are an Equal Employment Opportunity employer. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

Please apply via our website at www.fcci-group.com.

Drug Free Workplace (*Pre-employment drug screen is conducted for all positions)