Remote RN Triage Telephonic Nurse Case-Manager – FL Workers’ Comp

Job Overview

  • Clinical License RN
  • State(s) Nationwide, FL

Full job description

About Us
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 Inc./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.
Are you looking for a company that is Dynamic and Innovative where the teammates are Connected and Succeed Together? If so, Davies may just be the right choice for you.

Job Overview
As 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.

Responsibilities and Duties:
  • 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.

Experience and Qualifications
  • 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.
  • Must be technically adept to utilize systems software in efficient and effective manner with dual monitors and multiple data entries.

Knowledge, Skills and Abilities
  • 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.
  • Excellent customer service skills.
  • Assertive self-starter with excellent organizational skills. Team player. Good attendance.

Diversity and Inclusion
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).

Rewards and Recognition
We embrace innovation and run an annual competition available for all colleagues to submit their ideas. The top finalists travel to the current year’s competition site where they pitch their ideas to our investors. The winner receives funding to bring their idea to life and the runners up receive a reward for their involvement. Some of our teammates have moved across into brand new positions to further develop their ideas/projects!

  • Medical, dental, and vision plans
  • 401k plan with employer matching
  • Paid Time Off, Sick Leave, and Paid Holidays
  • Life insurance, short term, and long-term disability plans
  • Amazing leadership and fabulous teammates

Position Type, Work Environment and Physical Demands
This is a home-based, full time, salaried, exempt position that predominantly operates remotely from a professional home-based office environment routinely using standard office equipment such as computers, phones, printers, photocopiers, and scanners and requires prolonged periods of sitting at a desk while working on a computer. While performing the duties of this job, the individual will be required to regularly hear and talk. This is a largely sedentary role requiring the ability to sit at a desk, reach outward, use a phone, have use of fingers to operate office equipment such as a keyboard, mouse, phone, printer, copier, and to reach above the head, bend, or stand as necessary.

Application Information
Application deadline: July 8, 2024

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