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Telephonic Nurse Case-Manager – Rn Or Lpn – Workers’ Compensation

Company

Brown & Brown Insurance

Address ,
Employment type FULL_TIME
Salary
Expires 2023-09-22
Posted at 8 months ago
Job Description
Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.
As a Telephonic Case-Manager on our team at USIS/AmeriSys, you would be responsible for monitoring, evaluating and coordinating the delivery of high-quality medical treatment and other health services under Workers’ Compensation law. You will also perform ongoing assessments of the injured employee’s recovery to ensure high quality of care, reduce recovery time and minimize the effects of injury. Opportunity to work from home.
What You’ll Be Doing:
  • Addressing the return-to-work capability with the injured worker and provider at each medical evaluation.
  • Identifying the need for utilization review procedures to claims, such as triggers that might indicate a potential barrier to recovery.
  • Clinically evaluating the recovery needs of an injured employee after the initial contact assessment.
  • Anticipating health needs during case-management process and educating the patient and family appropriately. Encouraging the injured worker to participate in the recovery plan.
  • Performing other duties as needed.
  • Ensuring education is provided to the injured employee.
  • Serving as a patient advocate adhering to all legal, ethical and accreditation/regulatory standards.
  • Developing case management care plan.
  • Facilitating communication between the employee, the employee representative, employer, employer representative, insurer, health care provider and other involved parties to achieve the goals, ensuring excellent customer relationships and quality customer service.
  • Managing the file proactively, utilizing all appropriate case management tools.
  • Providing ongoing assessment of health and medical records.
  • Providing telephonic case-management in a Workers’ Compensation environment. Focus on medical appropriateness of care to injured worker with cost savings by coordination and utilization of all services, ensuring that as soon as medically feasible, return-to-work status is achieved, along with increase in productivity.
What You’ll Need:
  • Good communication skills, both oral and written. Team player. Good attendance. Good customer service skills.
  • Case-management experience desired – Workers’ Comp preferred.
  • Ability to effectively operate a personal computer and related claims and business software.
  • Must be self-directed and able to work independently.
  • Proof of current Florida Licensure.
  • Maintains knowledge of current trends, standards and law changes.
  • RN or LPN with a minimum of three years clinical experience (medical-surgical, orthopedic, neurological, ICCU, industrial, ER or occupational).
What We Offer:
  • Generous benefits package, including medical, dental vision, life insurance, etc.
  • Competitive pay, based on experience.
  • Discretionary Paid Time Off, plus Floating Holiday, Culture Day and 10 regular company-paid holidays.
  • Financial wealth-building options, including 401(k) with company match and Employee Stock Purchase Plan
Who We Are:
At USIS, we provide Third Party Claims Administration and Medical Management for Workers’ Compensation and Liability claims on behalf of our customers. As a recertified 2022 – 2023 Great Place to Work®, we pride ourselves on our friendly, team-orientated work environment. Our energetic team, supportive leaders, and can-do attitude enhance a sense of collaboration and belonging in our teammates.
Our focus is on quality, professional, superior service. This service-driven philosophy, conveyed throughout the organization, means we operate with the customers’ best interests at heart, constantly reinforcing our mission – Service Beyond the Contract.
Just like the distinct spots on a cheetah, the mascot of our parent company, Brown & Brown, every teammate at USIS is unique and we are passionate about embracing our diversity. Our team is connected through shared core values of integrity, grit and The Power of WE, which are part of our cultural DNA.
We are an Equal Opportunity Employer. We take pride in the diversity of our team and seek diversity in our applicants.