Medical Case Manager
About The Position
FCCI is seeking a licensed Registered Nurse to provide telephonic case management on assigned workers’ compensation claims. The selected new hire will provide coordination and evaluation of medical care to assigned caseload for the purpose of expediting claims handling. He/she will assist with oversight of necessary cost-effective quality medical treatment and work collaboratively with the adjuster for resolution of injury and/or return to work. In addition, this person will develop an initial plan outlining the action the case manager will take to ensure timely resolution of injury(s) through utilization of established guidelines to determine appropriate medical treatment, evaluate medical necessity in conjunction with the adjuster, and monitor progress/response to treatment. Utilize your medical expertise and critical thinking skills to make recommendations on alternative care pursuant to review and research conducted utilizing nationally accepted practice parameters. This position can be hybrid and based out of our home office in Sarasota, FL, any of our regional offices, or remote.
Requirements
- Licensed Registered Nurse
Responsibilities
- Provide telephonic case management on assigned workers’ compensation claims.
- Provide coordination and evaluation of medical care to assigned caseload for the purpose of expediting claims handling.
- Assist with oversight of necessary cost-effective quality medical treatment.
- Work collaboratively with the adjuster for resolution of injury and/or return to work.
- Develop an initial plan outlining the action the case manager will take to ensure timely resolution of injury(s).
- Utilize established guidelines to determine appropriate medical treatment.
- Evaluate medical necessity in conjunction with the adjuster.
- Monitor progress/response to treatment.
- Make recommendations on alternative care pursuant to review and research conducted utilizing nationally accepted practice parameters.
Benefits
- Flexible Work Environment
- Paid Family Leave
- Competitive PTO & Holidays
- Recognition & Bonus Programs
- Medical, Vision, Dental & Life Insurance
- Employee Referral Bonus
- Paid Volunteer Time
- 401(k) Match & Profit-Sharing
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
