RN, Telephonic Case Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Collaborate with injured workers, employers, and healthcare providers to develop effective case management strategies.

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

• Utilize medical/clinical or rehabilitation expertise to manage complex medical conditions, devise treatment plans, and oversee recovery.

• Conduct initial and ongoing clinical assessments via telephone.

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

• Foster communication and establish relationships with claims examiners, clients, injured workers, attorneys, and supervisors.

• Recognize delayed recovery and return-to-work challenges and develop innovative solutions.

• Negotiate treatment plans and disability durations with providers, adhering to medical and disability duration guidelines.

• Identify opportunities to accelerate care for cost effectiveness and timely recovery.

• Suggest alternative clinical resources to aid in claim resolution.

• Uphold client privacy and confidentiality, promote client safety and advocacy, and comply with ethical, legal, accreditation, and regulatory standards.

⛳️ Requirements

• Must be a resident of the United States.

• A current unrestricted RN license(s) in a state or territory of the United States is required.

• A compact license is necessary.

• A minimum of 1.5 years of prior experience in workers' compensation is required.

• A Bachelor’s degree in nursing (BSN) from an accredited college or university or equivalent work experience is preferred.

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

• Possess medical/clinical or rehabilitation knowledge and experience.

• Capability to perform clinical assessments over the phone.

• Strong communication skills to build relationships with claims examiners, clients, injured workers, attorneys, and supervisors.

• Familiarity with medical and disability duration guidelines.

• Ability to manage multiple priorities and meet deadlines.

• Proficient in keyboarding skills.

• Adequate hearing, vision, and verbal communication abilities.

🏝️ Benefits

• Work-life balance.

• Remote work environment.

• Flexibility and autonomy in daily tasks, work location, and career trajectory.

• Opportunities for professional development.

• Continuing education credits available.

• Team building initiatives.

• Three medical plan options.

• Two dental and vision plan options.

• Tuition reimbursement program.

• 401K plan with matching contributions of 50% up to the first 6% saved.

• Four weeks of paid time off (PTO) in the first full year.

• Disability and life insurance coverage.

• Employee assistance programs.

• Flexible spending or health savings accounts.

• Additional voluntary benefits available.