Workers' Compensation Case Manager
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Job Description
Telephonic Nurse Case Manager managing workers’ compensation claims for Acrisure, a global fintech leader. Collaborating with healthcare and legal teams to facilitate treatment and recovery outcomes.
Responsibilities:
- Manage telephonic case management for workers’ compensation claims, including assessment, care coordination, and ongoing case oversight
- Collaborate with injured workers, healthcare providers, employers, claims representatives, and legal partners to support treatment plans and recovery outcomes
- Evaluate treatment plans and provide guidance based on clinical knowledge and case management best practices
- Facilitate return to work planning and monitor progress toward recovery goals
- Maintain frequent telephonic and written communication with all involved parties throughout the life of the claim
- Advocate for appropriate and cost effective care while supporting positive health outcomes
- Maintain accurate, timely, and compliant documentation of all case activity
- Identify barriers to recovery and implement strategies to improve outcomes
- Ensure compliance with regulatory requirements, company standards, and HIPAA guidelines
- Manage assigned caseload independently, prioritizing work and adjusting plans as needed
Requirements:
- Strong understanding of workers’ compensation processes
- Case management practices and return to work coordination
- Ability to manage a high volume caseload in a structured, metrics driven environment
- Strong communication skills with the ability to navigate complex and sensitive conversations
- Proficiency with Microsoft Office
- Ability to work effectively in a remote setting using multiple systems and screens
- Demonstrated ability to work independently while maintaining productivity and quality standards
- Strong organizational skills and ability to manage competing priorities
- Positive, adaptable mindset with the ability to work effectively in a fast paced environment
- Bilingual (Spanish speaking) skills are highly beneficial
- Active Registered Nurse (RN) license required
- One of the following required: CCM, CDMS, COHN, or CRRN
- Associate or bachelor’s degree in nursing or a related clinical field
Benefits:
- Comprehensive medical insurance, dental insurance, and vision insurance
- Life and disability insurance
- Fertility benefits
- Wellness resources
- Paid sick time
- Generous paid time off and holidays
- Employee Assistance Program (EAP)
- Complimentary Calm app subscription
- Immediate vesting in a 401(k) plan
- Health Savings Account (HSA) and Flexible Spending Account (FSA) options
- Commuter benefits
- Employee discount programs
- Paid maternity leave and paid paternity leave (including for adoptive parents)
- Legal plan options
- Pet insurance coverage
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