Remote Nurse Case Manager - FL RN

Davies; United States; Remoto; USD 78.000 - 82.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical benefits

401(k) matching

Paid time off

Paid holidays

Life insurance

Descrizione del lavoro

Davies North America is seeking an experienced Telephonic Nurse Case Manager to manage medical claims in a remote, home-based role. The incumbent will perform telephonic case management for Workers’ Compensation, evaluate recovery needs, coordinate care, and promote timely return-to-work when medically indicated.

Florida RN license is required; you will collaborate with employers, providers, and insurers to ensure cost-effective, high-quality care while maintaining patient privacy and compliance.

Competenze

• FL RN license is required.
• RN with a minimum of three years clinical experience (medical-surgical, orthopedic, neurological, ICCU, industrial, ER or occupational).
• 3+ years of workers’ compensation experience.
• Proof of current State Licensure; compact license preferred.
• Case-management experience is desired – Workers’ Comp preferred.
• Must be self-directed and able to work independently.
• Ability to effectively operate a computer and related claims software; good written and verbal communication.

Mansioni

• Provide telephonic case-management in a Workers’ Compensation environment. Focus on medical appropriateness of care to injured worker with cost savings by coordination and utilization of all services, ensuring return-to-work when medically feasible.
• Facilitate communication between employee, employer, insurer, provider, and other stakeholders to achieve client goals and high-quality service.
• Build and maintain rapport with client contacts to ensure retention and meet client expectations.
• Clinically evaluate recovery needs and incorporate employer/provider information into the plan.
• Ensure education is provided to the injured employee and documented in the system.
• Identify barriers to recovery and formulate action plans to overcome them.

Conoscenze

FL RN license

Case-management

Workers’ Compensation experience

Clinical experience

Communication skills

Independent work

Descrizione del lavoro

Davies North America is seeking an experienced Telephonic Nurse Case Manager to manage medical claims in a remote, home-based role. The incumbent will perform telephonic case management for Workers’ Compensation, evaluate recovery needs, coordinate care, and promote timely return-to-work when medically indicated.

Florida RN license is required; you will collaborate with employers, providers, and insurers to ensure cost-effective, high-quality care while maintaining patient privacy and compliance.