Telephonic Case Manager

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

📋 Description

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

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

• Conduct initial and ongoing clinical assessments via telephone.

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

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

• Identify issues related to delayed recovery or return-to-work and creatively address challenges.

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

• Discover opportunities to expedite care for cost control and timely medical recovery.

• Suggest alternative clinical resources to facilitate claim resolution.

• Uphold client privacy and confidentiality, advocate for safety, and adhere to ethical, legal, accreditation, and regulatory standards.

⛳️ Requirements

• Must possess a current unrestricted RN license(s) in a U.S. state or territory.

• A 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 fields.

• Ability to think clearly and conceptually.

• Strong judgment, troubleshooting skills, problem-solving abilities, analytical skills, and discretion.

• Capability to manage work-related stress.

• Proficient in handling multiple priorities concurrently.

• Ability to adhere to deadlines.

• Competence in computer keyboarding.

• Proficient hearing, vision, and verbal communication abilities.

🏝️ Benefits

• Remote work environment.

• Flexibility and autonomy in daily tasks, location, and career progression.

• Opportunities for professional development.

• Continuing education credits.

• Team-building initiatives.

• A diverse and comprehensive benefits package.

• Choice of three medical plans.

• Selection of two dental and vision plans.

• Tuition reimbursement.

• 401K plan with a 50% matching contribution on every dollar saved, up to the first 6%.

• Four weeks of PTO during the first full year.

• Blended work environment.

• Ongoing opportunities for learning and professional growth.

• Strong team culture and supportive environment.

• Recognition and celebration of individual and team achievements.