RN Telephonic Case Manager: Return-to-Work Advocate

AmTrust Financial Services, Inc.; Arizona; On-site; USD 80,000 - 91,000; Full time

Benefits offered by this job

Medical & Dental

Life Insurance

401k

Paid Time Off

Job summary

AmTrust Financial Services, Inc. is seeking a Telephonic Medical Case Manager (RN) to drive medically appropriate return-to-work through thorough telephonic care coordination with injured employees, providers, and employers.

The role requires an active RN license (CA preferred, AZ preferred), BSN, and certifications in case management or related specialties. You will perform utilization review, coordinate care, document activities, and support adjusters with medical resolutions.

Qualifications

• Active RN license required; California license preferred and Arizona preferred.
• BSN from an accredited program or equivalent experience; professional certifications preferred.

Responsibilities

• Provide comprehensive telephonic case management to support medically appropriate return to work.
• Perform utilization review activities per jurisdictional guidelines.
• Coordinate care with injured employee, provider and employer.
• Document case management activities thoroughly in the system.
• Collaborate with adjusters to develop medical resolution strategies.
• Engage specialty resources as needed to achieve optimal outcomes.
• Maintain patient privacy and adhere to regulatory standards.

Skills

Workers' comp laws

Case management

URAC standards

Pharmacology/Pain management

Behavioral health

Communication skills

Teamwork

Organization skills

Negotiation

Education

RN license

BSN

Case management certification

California RN license

Spanish/English bilingual

Tools

Microsoft Office

Job description

AmTrust Financial Services, Inc. is seeking a Telephonic Medical Case Manager (RN) to drive medically appropriate return-to-work through thorough telephonic care coordination with injured employees, providers, and employers.

The role requires an active RN license (CA preferred, AZ preferred), BSN, and certifications in case management or related specialties. You will perform utilization review, coordinate care, document activities, and support adjusters with medical resolutions.