Davies North America

Telephonic Nurse Case Manager

Posted on

November 8, 2024

Job Type

Full-Time

Role Type

Case Management

License

RN

State License

Florida

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Company Description

Imagine being part of a team that’s not just shaping the future but actively driving it. At Davies North America, we’re at the forefront of innovation and excellence, blending cutting-edge technology with top-tier professional services. As a vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance and regulated sectors.

Job Description

We're on the lookout for a Telephonic Nurse Case Manager to join our growing team! As a Telephonic Nurse Case Manager, you will be responsible for monitoring, evaluating and coordinating the delivery of high quality, timely, cost-effective medical treatment and other health services under Workers’ Compensation law. Reporting to the TCM Supervisor, 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.

Requirements

Registered Nurse RN with a minimum of three years clinical experience (orthopedic, neurological, neuromuscular, ICCU, industrial or occupational) At least one (1) year of Florida Workers’ Compensation or occupational Case Management experience required (per client contract) Bilingual (English/Spanish) preferred Proactive, independent, dependable, and takes initiative with consistent follow through Superb written and verbal communication skills conducted in a timely manner with diverse audiences Superior time management skills with capability of working with and meeting deadlines Exceptional capability to multi-task and prioritize with excellent organization and documentation skills in a fast-paced, dynamic work environment Excellent team player with interpersonal skills High level attention to detail with ability to utilize decision making and problem-solving skills Capable of working collaboratively and independently with minimal supervision Exhibit discretion with sensitive and confidential information

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Responsibilities

Providing telephonic case-management in a Workers’ Compensation environment; focusing 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 Facilitating communication between the employee, the employee representative, employer, employer representative, insurer, health care provider, the medical services organization and when authorized, any qualified rehabilitation consultant, to achieve the goals Clinically evaluating the recovery needs of an injured employee after the initial contact assessment Evaluating treatment plans and documenting outcomes Tracking protocol management for appropriate utilization and delivery of medical services Serving as a patient advocate adhering to all legal, ethical and accreditation/regulatory standards Exhibit company values of We are Dynamic, We are Innovative, We are Connected, and We Succeed Together Perform other duties as assigned This role is a full-time, home-based position.

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