RN Advocate, Temp assignment

EPIC Insurance Brokers & Consultants; Mississippi; On-site; USD 60,000 - 80,000; Full time

Job summary

Join a dynamic and rapidly growing firm in the insurance industry as a Registered Nurse/Clinical Case Manager. This role involves proactive case management, ensuring effective communication with plan members, and collaborating with healthcare providers to achieve optimal outcomes. You will be part of a dedicated clinical team committed to excellence and innovation. The company values diversity and fosters a supportive work environment, making it an exciting opportunity for those looking to make a significant impact in their careers. If you're a positive team player with a passion for healthcare, this is the perfect role for you.

Benefits

Generous Paid Time Off

Paid Parental Leave

Employee Referral Bonus Program

Employee Recognition Programs

Pet Insurance

401(k) Matching

Medical Insurance

Dental Insurance

Vision Insurance

Wellness Programs

Qualifications

• 3-5 years in case or utilization management within the insurance industry.
• Fluency in Spanish and strong analytical skills are essential.

Responsibilities

• Manage clinical inventories and ensure effective communication with plan members.
• Evaluate ongoing clinical diagnosis and coordinate with healthcare providers.

Skills

Fluent in Spanish

Case management experience

Utilization management experience

Analytical skills

Time management

Multitasking skills

Collaborative communication

Tools

Microsoft Excel

Microsoft PowerPoint

Microsoft Word

Microsoft Outlook

Job description

Remote US Based

Come join our team!

There are many reasons why EPIC Insurance Brokers & Consultants has become one of the fastest-growing firms in the insurance industry. Fueled and driven by capable, committed people who share common beliefs and values and “bring it” every day, EPIC is always looking for people who have “the right stuff” – people who know what they want and aren’t afraid to make it happen.

Headquartered in San Francisco and founded in 2007, our company has over 3,000 employees nationwide. With locations spread out across the U.S., our local market knowledge and industry expertise helps support our clients' regional and global needs. We have grown very quickly since our founding, and we continue to see growth and success thanks to our hard-working and growth-minded employees.

Our core values are: Owner mindset, Inspire trust, Think big, and Drive results. If these values and growth align with what you're looking for in your next career? Then consider joining our amazing team!

JOB OVERVIEW:

As the Registered Nurse/Clinical Case Manager, our clinical team is proactive in seeking outcomes, consistent reach out and assurances and communications with all plan members advancing to case management, disease management and utilization management.

Working with other client teams and outsourced plan partners that participate in our weekly or monthly clinical inventory reviews, our partners are provided accurate and updated clinical estimates, a brief HIPAA PHI protected general diagnosis and future cost estimates as the condition evolves.

Maintaining clinical inventories by client, as Clinical Case Manager our clinical team must be proactive in seeking better outcomes, consistent reach out protocol and assurances and communications with all plan members advancing to Case Management, Disease Management or Utilization Management.

LOCATION:

WHAT YOU’LL DO:

1. Obtain transitional care disclosures (TOC) and request that a transitional care HIPAA PHI release is provided to the transitional care member.
2. Provide a complete verbal and written communication to the transitional care plan member as to our role in providing clinical oversight and partnership with the current plan of treatment and all their providers.
3. Request appropriate information of all current treating providers.
4. Provide all current providers a copy of the BAA and PHI release.
5. Request all current and historical medical records, test results and x-rays from current providers.
6. Complete an evaluation of the plan member's ongoing clinical diagnosis and course of current treatment.
7. Schedule clinical team meetings to review diagnosis, providers and course of treatment.
8. Evaluate for escalated Center of Excellence opportunity.
9. Schedule calls with the primary physician, our medical director, and if required, an expert in the area of diagnosis to set levels of expectation and escalated care available within the plan management relationship.
10. Communicate with plan members providing assurances that our in-depth clinical team will provide oversight and ensure the best transitional care.
11. Provide accurate and updated clinical estimates, a brief HIPAA PHI protected general diagnosis and future cost estimates as the condition evolves.

WHAT YOU’LL BRING:

1. Must be fluent in Spanish.
2. 3-5 years of either case management or utilization management within the insurance industry. Inpatient experience will also be considered.
3. Experience within the self-funded arena is preferred.
4. Looking for a positive team player.
5. Collaborative, and effective communication.
6. Strong analytical, time management and multitasking skills.
7. Must be proficient in all Microsoft applications including Excel, PowerPoint, Word, and Outlook.

COMPENSATION:

The national average hourly rate for this role is $50.00 - $67.00 in base pay and exclusive of any bonuses or benefits. The base pay offered will be determined based on your experience, skills, training, certifications and education, while also considering internal equity and market data.

WHY EPIC:

EPIC has over 60 offices and 3,000 employees nationwide – and we’re growing! It’s a great time to join the team and be a part of this growth. We offer:

• Generous Paid Time off
  • Managed PTO for salaried/exempt employees (personal time off without accruals or caps); 22 PTO days starting out for hourly/non-exempt employees; 12 company-observed paid holidays; 4 early-close days.
• Generous leave time options: Paid parental leave, pregnancy disability and bonding leave, and organ donor/bone marrow donor leave.
• Generous employee referral bonus program of $1,500 per hired referral.
• Employee recognition programs for demonstrating EPIC’s values plus additional employee recognition awards and programs (and trips!).
• Employee Resource Groups: Women’s Coalition, EPIC Veterans Group.
• Unique benefits such as Pet Insurance, Cancer Insurance, Identity Theft & Fraud Protection Coverage, Legal Planning, Family Planning, and Menopause & Midlife Support.
• Additional benefits include (but are not limited to): 401(k) matching, medical insurance, dental insurance, vision insurance, and wellness & employee assistance programs.
• 50/50 Work Culture: EPIC fosters a 50/50 culture between producers and the rest of the business, supporting collaboration, teamwork, and an inclusive work environment. It takes both production and service to be EPIC!
• EPIC Gives Back – Some of our charitable efforts include Donation Connection, Employee Assistance Fund, and People First Foundation.
• We’re in the top 10 of property/casualty agencies according to “Insurance Journal”.

EPIC embraces diversity in all its various forms—whether it be diversity of thought, background, race, religion, gender, skills or experience. We are committed to fostering a work community where every colleague feels welcomed, valued, respected and heard. It is our belief that diversity drives innovation and that creating an environment where every employee feels included and empowered, helps us to deliver the best outcome to our clients.