Case Manager Rn - (US-FL-Lake Mary - 32795)

Minimum Education: None
Job Type: Full Time
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Responsibilities : Provide telephonic case management of Workers Compensation claims by facilitating and coordinating all aspects of the injured worker medical care in a timely manner and with consideration to the criteria based model Maintain high standard of file documentation to ensure attention to detail and file accuracy Interact with strategic partners to obtain or clarify clinical information Compares clinical information against the appropriate criteria set Authorize medical care and practice medical costs containment skills Provide medical authorization in a timely manner Based on rotation schedule, handle after hours calls received from on-call phone Work collaboratively with team adjuster and assistant to ensure continuity of care Assist in the development of internal procedures and training concerning medical case management Assist with ad hoc projects as assigned Moderate to heavy keying is required.

Requirements :Current active RN license 3 years in nursing with 1 years experience performing Workers Compensation case management Experience in utilization management/cost containment PC skills in windows based environment experience Occasional travel and handle after hours calls received from on-call phone Excellent oral and written communication, coordination, analytical, and problem-solving skills Interpersonal skills and have proven ability to work in a team environment Business Specific Criteria.

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