RN, Telephonic Case Manager

This is a fully remote position, open to applicants in Arizona, +7 more states.

📋 Description

• Collaborate with injured workers, employers, and medical professionals to develop case management strategies.

• Promote medical recovery and facilitate a successful return to work through advocacy, effective communication, and coordination of medical services.

• Conduct initial and ongoing clinical assessments via telephone.

• Assess injuries, medical treatments, psychosocial needs, cultural factors, and support systems.

• Build and maintain relationships with claims examiners, clients, injured workers, attorneys, and supervisors.

• Identify issues related to delayed recovery and return-to-work, and formulate solutions.

• Negotiate treatment plans and disability duration with providers based on medical and disability-duration guidelines.

• Identify opportunities to accelerate care for cost savings and prompt medical recovery.

• Suggest alternative clinical resources to aid in claim resolution.

• Ensure client privacy and confidentiality while promoting client safety and advocacy.

• Comply with ethical, legal, accreditation, and regulatory standards.

⛳️ Requirements

• Must possess a current unrestricted RN license(s) in a state or territory of the United States.

• A compact license is required.

• At least 1.5 years of previous workers' compensation case management experience is needed.

• Bachelor's degree in nursing (BSN) from an accredited institution or equivalent work experience is preferred.

• Certification in case management, rehabilitation nursing, or a related specialty is highly preferred.

• Knowledge and experience in medical/clinical or rehabilitation settings.

• Capability to manage work-related stress effectively.

• Ability to juggle multiple priorities at once.

• Competence in meeting deadlines.

• Proficient in computer keyboarding.

• Adequate hearing, vision, and verbal communication skills.

🏝️ Benefits

• Achieve work-life balance.

• Enjoy a remote work environment.

• Experience flexibility and autonomy in daily work, location, and career trajectory.

• Access professional development opportunities.

• Earn continuing education credits.

• Participate in team-building initiatives.

• Choose from three medical plans.

• Select from two dental and vision plans.

• Benefit from tuition reimbursement.

• Enjoy a 401K plan that matches 50% of contributions up to the first 6% saved.

• Accrue 4 weeks of PTO in the first full year.

• Gain disability and life insurance coverage.

• Utilize employee assistance programs.

• Take advantage of flexible spending or health savings accounts.

• Access additional voluntary benefits.