Top 115 Clinical case managers Jobs in Boynton Beach, Fl

Medical Case Manager (Registered Nurse)
AmTrust Financial Services, Inc. —Boca Raton, FL
- $80,000 - $88,000 a year
- Full-time
- Spanish
- Nursing
- RN License
- Health insurance
- Dental insurance
Clinical Liaison (RN, RRT)
Select Specialty Hospital - Palm Beach —Lake Worth, FL
- $75,000 - $95,000 a year
- Full-time
- RN License
- Mid-level
- Critical & Intensive Care
- Dental insurance
- Paid time off
Quick Apply
Case Manager - Acute Rehab Unit
Select Medical Rehabilitation - Palm Beach —Lake Worth, FL
- $45 an hour
- 8 hour shift
- Hospital
- Mid-level
- Rehabilitation center
- Dental insurance
- Paid time off
Quick Apply
Intake Social Worker
Ruth and Norman Rales Jewish Family Services —Boca Raton, FL
- Full-time
- Microsoft Excel
- Mid-level
- Administrative experience
- Health insurance
- Dental insurance
Quick Apply
Medical Field Case Manager
Enlyte —West Palm Beach, FL
- $70,000 - $90,000 a year
- Full-time
- Nursing
- Microsoft Outlook
- RN License
- Travel reimbursement
- Health savings account
Care Coordinator, Behavioral Health
Health Care District of Palm Beach County —Palm Beach, FL
- Full-time
- BLS Certification
- Mid-level
- Outpatient experience
Clinical Support - Part-Time
Banyan Treatment Centers —Lake Worth, FL
- $25 - $26 an hour
- Part-time
- Addiction Medicine
- Master's degree
- Bachelor's degree
- Paid holidays
- Disability insurance
Quick Apply
Clinical Support - Full-Time
Banyan Treatment Centers —Lake Worth, FL
- $25 - $26 an hour
- Full-time
- Addiction Medicine
- Mid-level
- Master's degree
- Paid holidays
- Disability insurance
Quick Apply
Care Coordinator
Neuro Behavioral Hospital —Boynton Beach, FL
- Full-time
- Psychiatry
- Addiction Medicine
- Mid-level
Quick Apply
Case Manager-Sunlight
The Florida House —Boca Raton, FL
- Full-time
- Background check
- CPR Certification
- Addiction Medicine
Quick Apply
Case Manager (LPN - Bilingual Spanish)
Sky Nurses —Boca Raton, FL
- $25 - $35 an hour
- Weekends as needed
- Spanish
- Nursing
- HIPAA
- Paid holidays
- Health insurance
Quick Apply
Lead Psychiatrist-Mangonia Behavioral
Health Care District of Palm Beach County —Palm Beach, FL
- Full-time
- Medicine
- Psychiatry
- Clinic experience
Pool Registered Nurse Case Manager, Care Coordination, Bethesda East,Per Diem
Baptist Health South Florida —Boynton Beach, FL
- $47 an hour
- Per diem
- Nursing
- RN License
- Hospital
- Wellness program
- Health insurance
Registered Nurse Case Manager, Care Coordination, Bethesda East,FT
Baptist Health South Florida —Boynton Beach, FL
- $73,860.80 - $96,019.04 a year
- Full-time
- Nursing
- RN License
- Hospital
- Wellness program
- Health insurance
IOP Clinical Therapist
The Recovery Village —Lake Worth, FL
- Full-time
- LMFT
- Addiction Medicine
- Licensed Clinical Social Worker
- Health savings account
- Paid holidays
Quick Apply
Licensed Practical Nurse (LPN) Care Manager - Medicare Population Health
Asaar Medical —Boca Raton, FL
- $50,000 - $80,000 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
RN Case Manager PRN
HCA Florida JFK Hospital —Atlantis, FL
- PRN
- Mid-level
- Children
- Employee stock purchase plan
- Disability insurance
Quick Apply
Therapist - Substance Abuse Treatment
Singer Island Health LLC —Riviera Beach, FL
- $70,000 - $80,000 a year
- Full-time
- LMFT
- Addiction Medicine
- Licensed Clinical Social Worker
- Health savings account
- Health insurance
Quick Apply
Behavioral Health Case Manager/Educator
DRUG ABUSE FOUNDATION —Delray Beach, FL
- $44,100 - $46,500 a year
- Full-time
- Spanish
- Computer literacy
- Writing skills
Quick Apply
Coordinator Placement Partnership Program (PPP) - Youth & Family Services
Henderson Behavioral Health —West Palm Beach, FL
- Full-time
- Background check
- Spanish
- Mid-level
- Profit sharing
- Wellness program
Quick Apply

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Medical Case Manager (Registered Nurse)

AmTrust Financial Services, Inc. -
Boca Raton, FL

Apply Now

Job Details

Full-time
$80,000 - $88,000 a year

Benefits

Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Opportunities for advancement
Life insurance

Qualifications

RN License

Full Job Description

Overview:

AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Telephonic Medical Case Manager, RN.

PRIMARY PURPOSE: To provide comprehensive quality telephonic case management to proactively drive a medically appropriate return to work through engagement with the injured employee, provider and employer. Our nurses will be empathetic informative medical resources for our injured employees and they will partner with our adjusters to develop a personalized holistic approach for each claim. These responsibilities may include utilization review, pharmacy oversight and care coordination.

This position is remote in Florida or Georgia.

Responsibilities:

Uses clinical/nursing skills to determine whether all aspects of a patient’s care, at every level, are medically necessary and appropriately delivered.
Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance with the appropriate jurisdictional guidelines.
Sends letters as needed to prescribing physician(s) and refers to physician advisor as necessary
Responsible for accurate comprehensive documentation of case management activities in case management system.
Uses clinical/nursing skills to help coordinate the individual’s treatment program while maximizing quality and cost-effectiveness of care including direction of care to preferred provider networks where applicable.
Addresses need for job description and appropriately discusses with employer, injured employee and/or provider. Works with employers on modifications to job duties based on medical limitations and the employee’s functional assessment.
Responsible for helping to ensure injured employees receive appropriate level and intensity of care through use of medical and disability duration guidelines, directly related to the compensable injury and/or assist adjusters in managing medical treatment to drive resolution.
Communicates effectively with claims adjuster, client, vendor, supervisor and other parties as needed to coordinate appropriate medical care and return to work.
Performs clinical assessment via information in medical/pharmacy reports and case files; assesses client's situation to include psychosocial needs, cultural implications and support systems in place
Objectively and critically assesses all information related to the current treatment plan to identify barriers, clarify or determine realistic goals and objectives, and seek potential alternatives.
Partners with the adjuster to develop medical resolution strategies to achieve maximal medical improvement or the appropriate outcome
Evaluate and update treatment and return to work plans within established protocols throughout the life of the claim.
Engage specialty resources as needed to achieve optimal resolution (behavioral health program, physician advisor, peer reviews, medical director).
Partner with adjuster to provide input on medical treatment and recovery time to assist in evaluating appropriate claim reserves
Maintains client's privacy and confidentiality; promotes client safety and advocacy; and adheres to ethical, legal, accreditation and regulatory standards.
Other duties as may be assigned.
Supports the organization's quality program(s).

Qualifications:

Education & Licensing

Active unrestricted RN license in a state or territory of the United States required.
Bachelor's degree in nursing (BSN) from accredited college or university or equivalent work experience preferred.
Certification in case management, pharmacy, rehabilitation nursing or a related specialty is highly preferred.
Ability to acquire, and maintain, appropriate Professional Certifications and Licenses to comply with respective state laws may be required
Preferred for license(s) to be obtained within three - six months of starting the job.
Written and verbal fluency in Spanish and English preferred

Experience

3+ years of related experience or equivalent combination of education and experience required to include 2+ years of direct clinical care OR 2+ years of case management/utilization management required.

Skills & Knowledge:

Knowledge of workers' compensation laws and regulations
Knowledge of case management practice
Knowledge of the nature and extent of injuries, periods of disability, and treatment needed
Knowledge of URAC standards, ODG, Utilization review, state workers compensation guidelines
Knowledge of pharmaceuticals to treat pain, pain management process, drug rehabilitation
Knowledge of behavioral health
Excellent oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Leadership/management/motivational skills
Analytic and interpretive skills
Strong organizational skills
Excellent interpersonal and negotiation skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding
Auditory/Visual: Hearing, vision and talking

The expected salary range for this role is $80,000.00-$88,000.00.

Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.

What We Offer:

AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.

AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.

AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.

Apply Now

Refine Your Search

clinical case managers jobs in boynton beach, fl

Medical Case Manager (Registered Nurse)

Clinical Liaison (RN, RRT)

Case Manager - Acute Rehab Unit

Intake Social Worker

Medical Field Case Manager

Care Coordinator, Behavioral Health

Clinical Support - Part-Time

Clinical Support - Full-Time

Care Coordinator

Case Manager-Sunlight

Case Manager (LPN - Bilingual Spanish)

Lead Psychiatrist-Mangonia Behavioral

Pool Registered Nurse Case Manager, Care Coordination, Bethesda East,Per Diem

Registered Nurse Case Manager, Care Coordination, Bethesda East,FT

IOP Clinical Therapist

Licensed Practical Nurse (LPN) Care Manager - Medicare Population Health

RN Case Manager PRN

Therapist - Substance Abuse Treatment

Behavioral Health Case Manager/Educator

Coordinator Placement Partnership Program (PPP) - Youth & Family Services

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