Telephonic RN Case Manager - Workers' Comp

Acrisure; San Jose (CA); In loco; USD 85.000 - 94.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical insurance

Dental and vision insurance

401(k) plan

Paid time off

EAP

Descrizione del lavoro

Acrisure is seeking a Telephonic Nurse Case Manager to support workers’ compensation claims through clinical case management and care coordination. This role works closely with medical providers, employers, claims professionals, and injured workers to facilitate appropriate treatment, promote recovery, and support safe and effective return to work outcomes.

This is a position operating in a structured, high volume, fast paced environment.

Competenze

• Strong understanding of workers’ compensation processes, case management practices, and return to work coordination.
• Ability to manage a high volume caseload in a structured, metrics driven environment.
• Strong communication skills with the ability to navigate complex and sensitive conversations.
• Proficiency with Microsoft Office and ability to work effectively in a remote setting using multiple systems and screens.
• Demonstrated ability to work independently while maintaining productivity and quality standards.
• Strong organizational skills and ability to manage competing priorities.
• Positive, adaptable mindset with the ability to work effectively in a fast paced environment.
• Bilingual (Spanish speaking) skills are highly beneficial.

Mansioni

• Manage telephonic case management for workers’ compensation claims, including assessment, care coordination, and ongoing case oversight
• Collaborate with injured workers, healthcare providers, employers, claims representatives, and legal partners to support treatment plans and recovery outcomes
• Evaluate treatment plans and provide guidance based on clinical knowledge and case management best practices
• Facilitate return to work planning and monitor progress toward recovery goals
• Maintain frequent telephonic and written communication with all involved parties throughout the life of the claim
• Advocate for appropriate and cost effective care while supporting positive health outcomes
• Maintain accurate, timely, and compliant documentation of all case activity
• Identify barriers to recovery and implement strategies to improve outcomes
• Ensure compliance with regulatory requirements, company standards, and HIPAA guidelines
• Manage assigned caseload independently, prioritizing work and adjusting plans as needed

Conoscenze

Case management

Workers' compensation

Communication skills

Microsoft Office

Independent work

Bilingual Spanish

Time management

Strumenti

Microsoft Office

Descrizione del lavoro

Acrisure is seeking a Telephonic Nurse Case Manager to support workers’ compensation claims through clinical case management and care coordination. This role works closely with medical providers, employers, claims professionals, and injured workers to facilitate appropriate treatment, promote recovery, and support safe and effective return to work outcomes.

This is a position operating in a structured, high volume, fast paced environment.