Telephonic Nurse Case Manager (Hybrid - Lakewood Ranch, FL)

Davies - Lakewood Ranch, FL

Job Title: Telephonic Nurse Case Manager (Hybrid - Lakewood Ranch, FL)

Position: Nurse Case Manager

Job Type: Hybrid

Pay: $70,000 - $80,000 / year

Shift:

Work Type: Hybrid

Location

Address:

City: Lakewood Ranch

State: FL

ZIP Code:

Job Responsibilities

Triage newly acquired claims to determine severity of reported injuries
Provide medical information and make recommendations for compensability of claims
Initiate contact with injured worker regarding medical management of the claim
Work with medical providers to provide medical management to injured worker
Review medical documentation, prepare written correspondence, and communicate with physicians regarding major contributing cause of medical condition as it relates to the reported accident
Monitor medical treatment to ensure medical protocol is within recognized parameters
Promptly authorize causally related medical services prescribed
Coordinate light duty availability with medical providers and employers
Communicate work status changes in a timely manner
Prepare and approve pre-certifications
Assist with medical management to obtain MI
Maintain working knowledge of Workers’ Compensation Statutes and Rules and their application
Convey a positive attitude and teamwork for optimum provision of service to clients
Review Permanent Impairment Rating for appropriateness
Exhibit company values of We are Dynamic, We are Innovative, We are Connected, and We Succeed Together
Perform other duties as assigned

Required Skills

Core Skills

Possess a valid Florida Registered Nurse license
Substantial knowledge of medical terminology
Demonstrate proficiency in Microsoft Office Suite programs
Superb communication skills, verbal and written, conducted in a timely manner
Superior time management skills
Exceptional capability to multi-task and prioritize with excellent organization and documentation skills
High level attention to detail and problem-solving skills
Exhibit discretion with sensitive and confidential information

Preferred Skills

3+ years of hospital, orthopedic, and/or Workers’ Compensation experience
Extensive knowledge of Workers’ Compensation Statutes, Rules, and case law
NLC licensure (Compact License) highly desirable
Certified Case Manager designation (CCM)

Requirements

Experience: 3 or more years of hospital, orthopedic, and/or Workers’ Compensation experience

Education:

License & Certification:

Florida Registered Nurse license

Schedule:

COVID-19 Requirements: Not Specified

Benefits

Medical, dental, and vision plans
401k plan with employer matching
Discretionary Time Off for exempt employees
Paid Time Off (PTO) package for non-exempt employees
Paid holidays
Life insurance and both short-term and long-term disability plans

Supplemental Pay

Not specified

Special Notes

Davies is dedicated to fostering a diverse and inclusive workplace that embraces a wide range of perspectives and experiences.

Facility Details

Name: Davies

Description: A vital part of the global Davies Group, helping businesses navigate risk and optimize operations in the insurance and regulated sectors.

Specialties: