7 Telephonic Nurse Case Manager Jobs in Scottsdale, AZ
Berkley Medical Management Solutions is Hiring a Telephonic Nurse Case Manager Near Scottsdale, AZ
To get it right, we started with a flexible technology platform that allowed for impressive customization without sacrificing the ability for expansion and continued innovation. We deploy integrated systems to give W.R. Berkley Companies recommendations and professional services for managing each individual case in an efficient and appropriate manner. The power of our technology takes medical bill-review services and clinical advisory services to a new level. Our unique marriage of technology, software platforms, data analytics and professional services ensures we provide Berkley’s operating units with reliable results, and reduced time and expenses associated with case management.
ResponsibilitiesAs a Telephonic Nurse Case Manager, you will assess, plan, coordinate, monitor, evaluate and implement options and services to facilitate timely medical care and return to work outcomes of injured workers.
- Coordinate and implement medical case management to facilitate case closure
- Assess appropriate utilization of medical treatment and services available through contact with physicians and other specialist to ensure cost effective quality care
- Review and analyze medical records and assess data to ensure appropriate case management process occurs while providing recommendations to achieve case progress and movement to closure
- Responsible for assigned caseloads, which may vary in numbers, territory and/or by state jurisdiction
- Acquire and maintain nursing licensure for all jurisdictions as business needs require
- Coordinate services to include home services, durable medical equipment, IMEs, admissions, discharges, and vocational services when appropriate and evaluate cost effectiveness and quality of services
- Document activities and case progress using appropriate methods and tools following best practices for quality improvement
- Coordinate job analysis with employer to facilitate return to work
- Engage and participate in special projects as assigned by case management manager
- Occasionally attend on site meetings and professional programs
- Review job analysis with physicians
- Foster a teamwork environment
- Maintaining and updating the Official Disability Guidelines (ODG) in reference to the injured worker status
- Minimum of 2-years of experience in insurance rehabilitation and medical/vocational rehabilitation preferred
- Minimum of 4-years medical/surgical clinical experience
- Exhibit strong communication skills, professionalism, flexibility and adaptability
- Possess working knowledge of medical and vocational resources available to the Workers’ Compensation industry
- Familiarity of the Dictionary of Occupational Titles (DOT) a plus
- Demonstrate evidence of self-motivation and the ability to perform case management duties independently
- Oral and written fluency in both Spanish and English a plus
- Graduate of an accredited school of nursing and possess a current RN license, Bachelors of Nursing preferred
- Must be licensed in Minnesota and additional have applicable state certifications and/or licensures in the states where job duties are performed
- Obtain other professional certifications as appropriate (CCM, CRRN, CDMS, COHN, CRC)
- Earn Continuing Education Units to maintain certifications and licensures
- Designated professional certification must be obtained within 2 years of hire date
The Company is an equal employment opportunity employer
We do not accept any unsolicited resumes from external recruiting agencies or firms.
The company offers a competitive compensation plan and robust benefits package for full time regular employees.
The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
Additional RequirementsTravel Requirements
- Domestic U.S. travel required (up to 10% of time)
Job Summary
Full Time
$85k-103k (estimate)
06/22/2024
07/14/2024
The job skills required for Telephonic Nurse Case Manager include Case Management, Managed Care, Communication Skills, Teamwork, etc. Having related job skills and expertise will give you an advantage when applying to be a Telephonic Nurse Case Manager. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Telephonic Nurse Case Manager. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Telephonic Nurse Case Manager positions, which can be used as a reference in future career path planning. As a Telephonic Nurse Case Manager, it can be promoted into senior positions as a Case Management Director that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Telephonic Nurse Case Manager. You can explore the career advancement for a Telephonic Nurse Case Manager below and select your interested title to get hiring information.
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