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SalaryAs a Triage Telephonic Nurse Case Manager on our team, you would be responsible for performing telephonic initial triage assessment of injured workers under Florida Workers’ Compensation law. Our team will rely on you to ensure high quality of care and reduce recovery time to promote an appropriate, prompt return to work. In this role, you will be responsible for clinically evaluating the recovery needs of an injured employee after the initial contact assessment, incorporating information obtained from the employer and medical provider into the initial plan ensuring that, as soon as medically feasible, return-to-work status is achieved. Opportunity to work from home.
What You’ll Be Doing:
- Providing triage case-management in a Workers’ Compensation environment at the initial report of the claim. Focus on medical appropriateness of care to the 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.
- Utilizing keen clinical assessment skills to ascertain all pertinent information from the injured employee to facilitate appropriate care.
- Clinically evaluating the recovery needs of an injured employee after the initial contact assessment. Incorporate information obtained from the employer and provider into the initial plan.
- Facilitating communication between the employee, the employee representative, employer, employer representative, insurer, health care provider, and the medical services organization and when authorized, any qualified rehabilitation consultant.
- Anticipating health needs during case-management process and educate patient and family appropriately. Encourage the injured worker to participate in the recovery plan.
- Serving as a patient advocate adhering to all legal, ethical and accreditation/regulatory standards.
- Participating as backup to assist with intake calls as necessary, ensuring expedient care to the injured employees and being knowledgeable of all functions of the department.
- Performing other duties as needed.
What You’ll Need:
- Registered Nurse RN with a minimum of three years clinical experience (orthopedic, neurological, neuromuscular, ICCU, industrial or occupational).
- Excellent clinical assessment skills required.
- Florida Workers’ Compensation case management or occupational experience helpful.
- Bi-lingual preferred (English/Spanish).
- Must be able to work a computerized diary system, keep the diaries current and document accordingly.
- Must work productively and independently to accomplish goals of the job per caseload according to contractual performance standards.
- Excellent verbal and written communication skills. Good customer service skills and strong organizational skills.
- Must be technically adept to utilize systems software in efficient and effective manner with dual monitors and multiple data entries.
- Ability to work effectively in fast-paced environment, using own initiative, effectively multi-task and prioritize.
What We Offer:
- Generous Paid Time Off, plus Floating Holiday, Culture Day and 10 regular company-paid holidays.
- Generous benefits package, including medical, dental vision, life insurance, etc.
- 401(k) plan with company match
- Compensation: $72,000 to $80,000, based on experience.
Who We Are:
At Davies, we get it... you are not just looking for a job, you are looking to build a life and a career. We believe in our people and realize that our success is a direct result of creating a learning atmosphere, leadership opportunities, and promoting from within. We believe that engaging in corporate social activities and working together as a team is a vital part of the Davies culture.
With a multinational global team, Davies Group is a specialist professional services and technology firm working in partnership with leading insurance, highly regulated, and global businesses. At Davies Group, we help clients to manage risk, operate core business processes, and to transform and grow. We deliver operations, consulting and technology solutions across the risk and insurance value chain, including excellence in claims, underwriting, distribution, regulation, customer experience, human capital, transformation, and change management.
As part of Davies Specialty Programs, USIS/AmeriSys specializes in Third Party Claims Administration and Medical Management for Workers’ Compensation and Liability claims. We pride ourselves on our friendly, team-orientated work environment. Our energetic team, supportive leaders, and can-do attitude enhance a sense of collaboration and belonging in our teammates.
Our focus is on quality, professional, superior service. This service-driven philosophy, conveyed throughout the organization, means we operate with the customers’ best interests at heart, constantly reinforcing our mission – Service Beyond the Contract.
Davies is committed to being a diverse and inclusive workplace. We welcome candidates of all genders, gender identity and expression, neurodiversity, sexual orientation, disability, physical appearance, body size, race, age, nationality, and belief (or lack thereof).
We are an Equal Opportunity Employer. We take pride in the diversity of our team and seek diversity in our applicants.
