Nurse Case Manager Workers Compensation (Telephonic)

Insurance Placement Solutions has an immediate opening for a Workers Compensation Telephonic Nurse Manager with our client in their Miami, FL location. As a member of our clients team, utilize your knowledge of nurse case management to act as liaison for involved parties in the workers compensation injury by communicating in person and telephonically with the patient/caregiver, attorneys, employer, claims examiners, telephonic nurse case manager, return to work specialists, vocational rehabilitation supervisor, provider(s), ancillary provider(s) and healthcare team.

Workers Compensation Telephonic Nurse Case Manager Responsibilities

Assesses and analyzes injured workers medical and vocational status.

Develops a progressive plan of care to facilitate medical recovery and progressive return to work.

Manages one-time task assignment or full field case management referral to meet with attending physician, injured worker and/or employer to clarify medical and/or vocational claim related information which could not be obtained through correspondence or telephonic attempts by claims team.

Collaborates with members of the health care team to provide ongoing case management services.

Acts as liaison for involved parties in the workers compensation injury by communicating in person and telephonically with the patient/caregiver, attorneys, employer, claims examiners, telephonic nurse case manager, return to work specialists, vocational rehabilitation supervisor, provider(s), ancillary provider(s) and healthcare team.

Monitors injured employees progress towards appropriately established outcomes through continuous assessment and evaluation.

Coordinates necessary referrals, consultations, and therapeutic services for the injured employee.

Completes the interview process with the patient/caregiver in the home, worksite, ancillary location or physicians office for current and ongoing assessments and evaluations.

Assists in the development of continued care plans as necessary to include patient education and prevention programs.

Testifies as needed to substantiate relevant casework or reports.

Confers with medical treating providers concerning the course of care and treatment per clinical guidelines.

Educates medical providers on appropriate disability and treatment guidelines as necessary.

Experience

3+ years experience as a workers compensation case manager

RN license required

Union knowledge is a plus

Bilingual Spanish required

Education

High school diploma required

Bachelors degree from an accredited college or university preferred

About Insurance Placement Solutions

IPS is an insurance staffing and recruiting firm dedicated to the insurance industry, including workers compensation claims jobs in the Miami, FL area. Our services are designed to be a resource for clients to gain access to high caliber talent. Many of our clients do not have the dedicated manpower to quickly fill their temporary, temporary to hire or direct hire vacancies. That is where we come in. Our clients are able to utilize our services to maintain business-as-usual during unforeseen interruptions and fluctuating business needs. Plus, our candidates benefit from gaining backdoor access to sought-after positions with top companies in the industry.

Tagged as: Florida Claims Jobs, Florida Jobs, Miami Claims Jobs, NCM, Nurse Case Manager