Nurse Case Manager
ISI
full-time
Posted on:
Location Type: Remote
Location: Remote • Florida • 🇺🇸 United States
Visit company websiteSalary
💰 $80,000 - $90,000 per year
Job Level
Mid-LevelSenior
About the role
- Maintain and manage claims with field agents and managers, to ensure claims remain up to date with relevant information.
- Have up-to-date knowledge of the worker’s compensation system
- Coordinate care between the claimant, providers, ancillary providers, attorney and the account holder.
- Provide regular weekly/monthly updates for the client
- Complete medical reviews and tasks in a timely manner
- Ensure the claim narrative is up to date with accurate and relevant information that captures time, expenses, and appropriately reflects the services performed
- Review claims, reports, requests, and invoices weekly
- Performs other duties relevant to claims as required/necessary.
Requirements
- Nursing degree required
- Active compact RN license required
- Experience in the general field of nursing such as hospital nursing, rehabilitation, occupational medicine, and clinical settings which interact with the patients and providers
- Team player who is highly motivated and extremely organized.
- Excellent communication skills, both written and verbal.
- Able to act as a resource for other team members for medical, treatment, and rehabilitation issues.
- Self-starter who works independently and at the same time reaches out to co-workers as needed to seek assistance, share thoughts, and offer expertise.
- Clear report writing skills.
- Bilingual in any language a PLUS.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
medical reviewsclaims managementreport writingworker’s compensation systemnursingrehabilitationoccupational medicineclinical settings
Soft skills
team playerhighly motivatedextremely organizedexcellent communicationself-starterindependent workcollaborationresourcefulness
Certifications
RN licensenursing degree