Medical Case Manager

Fcci Group; Sarasota (FL); Hybrid; USD 62,000 - 96,000; Full time

Benefits offered by this job

Paid Family Leave

PTO & Holidays

Recognition & Bonus Programs

Employee Referral Bonus

401(k) Match & Profit-Sh Sharing

Job summary

FCCI Group is seeking a licensed Registered Nurse to provide telephonic case management for workers' compensation claims. The role coordinates medical care, evaluates medical necessity, and develops initial action plans to expedite claim resolution in collaboration with the adjuster.

This hybrid position can be based at our Sarasota office, other regional offices, or work remotely. The company offers a comprehensive benefits package and competitive salaries.

Qualifications

• RN license in the state hired; multi-state licensure preferred.
• Two years of relevant case management/ workers' compensation experience.
• Certification in Case Management (CCM) or Rehabilitation (CRRN) or eligible to sit for exam.
• Proficient with desktop technology.

Responsibilities

• Provide telephonic case management for assigned workers' compensation claims.
• Coordinate and evaluate medical care to expediting claims handling.
• Develop an initial plan outlining actions to resolve injuries timely using guidelines.
• Monitor progress and evaluate medical necessity in coordination with the adjuster.
• Make recommendations on alternative care based on established parameters.

Skills

CCM certification

CRRN certification

Workers' Compensation experience

Multistate licensure

Desktop technology proficiency

Education

Associate's Degree

Bachelor's Degree Preferred

Job description

Sarasota Home Office
Sarasota, FL 342408424, USA

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:

• Paid Family Leave
• Competitive PTO & Holidays
• Recognition & Bonus Programs
• Employee Referral Bonus
• 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.

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

Qualifications

Experience

Required

• Associate's Degree (Bachelor's Degree Preferred) with current RN licensure in the state hired; multi-state licensure preferred
• Two years of relevant experience such as Case Management, Utilization Review, Physical Rehabilitation, or Occupational Health
• Worker's Compensation insurance experience
• Professional certification in either Case Management (CCM) or Rehabilitation (CRRN) and/or eligible to sit for the certification exam.
• Proficient with desktop technology

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.