RN Telephonic Case Manager

Acrisure • Bradenton, FL

21h • Remote

About The Position

About Acrisure A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services – and more. In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible. Providing quality service and accurate results supports Ascential Care Partner’s primary mission as a trusted adviser to our clients. As a Telephonic Nurse Case Manager, you will be working in a fast-growing company and work environment. Your valuable role requires working closely with treating physicians/providers, employers, claim representatives, legal representatives, and the injured/ disabled person to create and implement safe and effective Return to Work plans, and facilitate appropriate and cost-effective medical services to achieve maximum medical improvement and recovery. As a member of our team, you will continue to reinforce Ascential’s mission of being a market leader and collaborative partner to current and prospective customers and partners.

Requirements

• Credentials: Current, active, and unrestricted RN Compact license.
• Additional RN licensure from CA, TN, NC or NY strongly preferred.
• Certification in the case management field strongly preferred.
• Recognized certifications include CCM (Preferred) A-CCC, CCM, CDMS, CMAC, CMC, CRC, CRRN, and COHN
• State Specific certifications strongly desired GA Rehab Supplier, NC QRP
• Experience: Two or more years’ full-time work providing direct clinical care
• Experience in worker's comp case management, occupational nursing, or related field preferred
• Education: Associate degree or bachelor’s degree in nursing
• Required Skills: Bilingual (Spanish speaking) is strongly preferred
• Able to think critically and strategically to accomplish case goals
• Excellent interpersonal skills, and customer service focused
• Assertive and proactive in approach and communications
• Maintains confidence and tact in difficult discussions and collaborations to achieve positive outcomes
• Possesses strong organizational, task prioritization, and delegation skills
• Demonstrates technical proficiency in Microsoft Office products and ability to learn new software
• Ability to maintain accurate records, prepare reports, correct English usage, and maintain confidentiality
• Ability to construct grammatically correct reports using standard medical terminology
• Ability to use a computer keyboard and mouse up to 8 or more hours per day
• Work Setting: Full-time, work from home position that can be located anywhere in the U.S.
• Ability to work normal business hours for assigned jurisdiction(s)
• Must have dedicated home office space that ensures privacy with access to reliable high-speed internet
• Physical Demands While performing the duties of this position, the employee is required to walk, stand, bend, kneel, stoop, communicate, reach, and manipulate objects.
• Duties involve moving materials weighing up to 10 pounds on a regular basis such as files, books, office equipment, etc., and may infrequently require moving materials weighing up to 30 pounds.
• Manual dexterity and coordination are required while operating equipment such as computer keyboard, calculator, and standard office equipment.

Nice To Haves

• Recognized certifications include CCM (Preferred) A-CCC, CCM, CDMS, CMAC, CMC, CRC, CRRN, and COHN
• State Specific certifications strongly desired GA Rehab Supplier, NC QRP
• Experience in worker's comp case management, occupational nursing, or related field preferred
• Required Skills: Bilingual (Spanish speaking) is strongly preferred

Responsibilities

• Case Management & Application of Knowledge: Demonstrate and apply knowledge of case management standards, injuries, medications, treatment options, and job duties to advise on and implement treatment plans
• Adhere to ethical guidelines and best practice standards, ensuring quality of care.
• Collaboration & Communication: Collaborate telephonically and in writing with claims representatives, employer when applicable, and healthcare providers to achieve optimal return to work and claim outcomes
• Facilitate telephonic and written communication and coordination with all appropriate parties
• Maintain regular, frequent telephonic and written contact with patients throughout the claim assignment
• Involve patients in decision-making and encourage their appropriate use of healthcare services to maximize health outcomes and maintain cost-effectiveness.
• Patient-Centered Care & Advocacy: Assess patient needs, provide support and advocacy, promote self-advocacy and self-determination
• Assist in safe transitioning of care, and resolve problems using multidisciplinary strategies, always prioritizing patient needs.
• Documentation & Confidentiality: Maintain accurate documentation of case management services in client records
• Uphold patient confidentiality and adhere to HIPAA standards.
• Quality Assurance: Ensure quality of care by adhering to standards, measuring outcomes, making necessary adjustments, and following ethical guidelines.
• Reflect the company’s philosophy by demonstrating ardent customer service-related results.
• Professional Development: Maintain professional and industry knowledge through continuous learning, networking, and participation in professional activities.
• Maintain state license(s) and certifications required for this role.
• Workload Management: Manage assigned workload independently, prioritizing cases, evaluating progress, and modifying goals to improve treatment effectiveness and claim outcomes.
• Perform other duties as assigned

Benefits

• Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.
• Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.
• Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.
• Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree