Overview RN - Telephonic Case Manager role at Acrisure. This position involves working with treating physicians/providers, employers, claim representatives, legal representatives, and injured/disabled individuals to create and implement safe and effective Return to Work plans, and to facilitate appropriate and cost-effective medical services to achieve maximum medical improvement and recovery.
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 to ensure quality of care.
Collaboration & Communication: Collaborate telephonically and in writing with claims representatives, employers when applicable, and healthcare providers to achieve optimal return to work and claim outcomes; maintain regular telephonic and written contact with patients throughout the claim; involve patients in decision‑making to maximize health outcomes and 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, 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 through customer service results.
Professional Development: Maintain professional knowledge through continuous learning and activities; maintain state licenses and certifications required for this role.
Workload Management: Manage assigned workload independently, prioritize cases, evaluate progress, and adjust goals to improve treatment effectiveness and claim outcomes; perform other duties as assigned.
Qualifications Credentials: Current, active, unencumbered Registered Nurse (RN) license in the applicable state (California required).
Experience: Two or more years of full-time direct clinical care; experience in workers' compensation case management, occupational nursing, or related field preferred.
Education: Associate degree or bachelor’s degree in nursing.
Skills: Critical thinking and strategic planning; excellent interpersonal and customer service skills; assertive and proactive communication; ability to maintain confidentiality; strong organizational and prioritization skills; proficiency in Microsoft Office and aptitude to learn new software; bilingual Spanish is highly desired.
Work Setting Full-time, remote position that can be located anywhere in the U.S.
Ability to work normal business hours in Mountain or Pacific Time Zone; dedicated home office space with reliable high-speed internet.
Physical Demands Occasional walking, standing, bending, kneeling, stooping, reaching, and handling of objects; may involve moving materials up to 30 pounds; manual dexterity for computer use and office equipment.
Equal Opportunity Equal Opportunity Employer, M/F/D/V. Acrisure is committed to a diverse workforce. All applicants will be considered for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran, or disability status.
California residents can learn more about privacy practices for applicants at the Acrisure California Applicant Privacy Policy: www.Acrisure.com/privacy/caapplicant.