Telephone Case Manager

Acrisure • Bradenton, FL

10d • Remote

About The Position

Providing quality service and accurate results supports Ascential Care Partner’s primary mission as a trusted adviser to our clients. As Nurse Case Manager (full, or hybrid), 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. Job Duties: Reasonable accommodation may be provided to enable individuals with disabilities to perform the essential functions.

Requirements

• Candidate must maintain a current, active, and unrestricted Georgia RN license required
• Candidate must maintain an active CCM or CRRN required
• Candidate has an active Georgia Rehabilitation Supplier Registration or is willing to obtain required
• Two or more years’ full-time work providing direct clinical care
• Experience in worker's comp case management required
• Associate degree or bachelor’s degree in nursing
• 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
• This is a remote, telephonic case management role serving injured workers in the Atlanta, GA metro.
• A client visit may be scheduled periodically.
• Ability to work minimum core business hours (Mon-Fri, 8:30a-5p EST).
• Must have dedicated home office space that ensures privacy with access to reliable high-speed internet
• Must maintain a valid driver's license with good driving history
• Telephonic / Desk-Based Work (primary)
• Sitting: prolonged periods at a computer and phone; ability to alternate sitting/standing as needed
• Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.

Nice To Haves

• Bilingual (Spanish/English) highly desired

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 when needed with injured workers, claims representatives, employers, and healthcare providers to achieve optimal return to work and claim outcomes
• Facilitate telephonic and written communication and coordination with appropriate parties
• Maintain regular, frequent telephone 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.
• Physically attend client visits on an as needed basis.
• 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.
• … and so much more!
• This list is not exhaustive of all available benefits.
• Eligibility and waiting periods may apply to certain offerings.
• Benefits may vary based on subsidiary entity and geographic location.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees