Top 23 Telephonic nurse case manager Jobs in Florida

Medical Case Manager (Registered Nurse)
AmTrust Financial Services, Inc. —Maitland, FL
- $80,000 - $88,000 a year
- Full-time
- Hybrid work
- Spanish
- Nursing
- RN License
- Health insurance
- Dental insurance
Care Coordinator
Sirius Healthcare —Melbourne, FL
- $19.65 - $22.00 an hour
- Weekends as needed
- Spanish
- BLS Certification
- HIPAA
- Paid training
- Mileage reimbursement
Quick Apply
1d
(RN) Remote Care Manager - CA License req
Molina Healthcare, Inc. —Florida
- $30.37 - $61.79 an hour
- Full-time
- Remote
- Bilingual
- RN License
- HIPAA
- Health insurance
13d
Workers' Compensation Case Manager
Acrisure —Bradenton, FL
- Full-time
- Remote
- Spanish
- Nursing
- RN License
- Commuter assistance
- Paid parental leave
Medical Case Manager I
CorVel Corporation —Pensacola, FL
- $63,739 - $95,264 a year
- Full-time
- Remote
- Nursing
- RN License
- Computer literacy
- Health savings account
- Disability insurance
Quick Apply
Member Health Assessor
Molina Healthcare —Florida
- $21.82 - $42.55 an hour
- Full-time
- LMFT
- LVN
- Licensed Clinical Social Worker
- Health insurance
7d
Behavioral Health RN
The Brevard Health Alliance Inc —Melbourne, FL
- CPR Certification
- Nursing
- Patient monitoring
- Loan repayment program
- Disability insurance
Quick Apply
Clinical Liaison, OHARI
Orlando Health —Ocoee, FL
- Full-time
- Hospital
- Physical & Rehabilitation Medicine
- Licensed Clinical Social Worker
8d
Clinical Liaison (Pool), OHARI
Orlando Health —Ocoee, FL
- PRN
- Hospital
- Physical & Rehabilitation Medicine
- Licensed Clinical Social Worker
Intensive Community Manager, Complex Care (RN)
Chen Medical Associates —Jacksonville, FL
- $36.90 - $52.70 an hour
- Full-time
- Acute care
- Nursing
- Skilled nursing facility
- Opportunities for advancement

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Medical Case Manager (Registered Nurse)
AmTrust Financial Services, Inc. —Maitland, FL
Active unrestricted RN license in a state or territory of the United States required. Preferred for license(s) to be obtained within three - six months of…
$80,000 - $88,000 a year
Patient Services Specialist - Nurse
Serva Health LLC —Florida
Active and clear registered nurse license (RN - any state) (or equivalent). For foreign credentials, must have certified translation of diploma or license.
From $65,000 a year
Quick Apply

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(RN) Remote Care Manager - CA License req
Molina Healthcare, Inc. —Columbus, OH
Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by…
$30.37 - $61.79 an hour
13d
Field Case Manager RN - West Columbus, OH
Optum —Grove City, OH
Ability to travel 100% of the time for field-based work within 60 miles of residence. Maintain credentials essential for practice, to include licensure,…
$58,800 - $105,000 a year
Quick Apply

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Medical Case Manager (Registered Nurse)

AmTrust Financial Services, Inc. -
Maitland, 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 will be hybrid out of Maitland, FL or Boca Raton, FL office.

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.

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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.

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Refine Your Search

telephonic nurse case manager jobs in florida

Medical Case Manager (Registered Nurse)

Care Coordinator

(RN) Remote Care Manager - CA License req

Workers' Compensation Case Manager

Medical Case Manager I

Member Health Assessor

Behavioral Health RN

Clinical Liaison, OHARI

Clinical Liaison (Pool), OHARI

Intensive Community Manager, Complex Care (RN)

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