# Telephonic Nurse Case Manager (Remote)

**Company**: Davies
**Location**: Home, Alabama
**Work arrangement**: remote
**Experience**: senior
**Job type**: full-time
**Category**: Healthcare
**Industry**: Healthcare

**Apply**: https://davies.pinpointhq.com/en/postings/b9ba3a21-42f2-4152-b968-a74379b08b43?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_1bca1af5-e63

## Description

We are seeking a Telephonic Nurse Case Manager to join our team. As a Telephonic Nurse Case Manager, you will be responsible for monitoring, evaluating, and coordinating the delivery of high-quality, timely, and cost-effective medical treatment and other health services under Workers’ Compensation law.

### Key Responsibilities

- Provide telephonic case management in a Workers’ Compensation environment, focusing on medical appropriateness of care to injured workers with cost savings by coordination and utilization of all services.

- Facilitate communication between the employee, employer, insurer, healthcare provider, and other stakeholders to achieve goals.

- Ensure appropriate education is provided to the injured employee and document in the system.

- Identify barriers to recovery and formulate a plan to overcome them.

- Clinically evaluate the recovery needs of an injured employee and provide ongoing assessment of health and medical records.

- Evaluate treatment plans, track and modify as necessary, and document outcomes.

- Track protocol management for appropriate utilization and delivery of medical services.

- Serve as a patient advocate, adhering to all legal, ethical, and accreditation/regulatory standards.

### Skills, Knowledge & Expertise

- RN with 3-5 years clinical experience (medical-surgical, orthopedic, neurological, ICCU, industrial or occupational).

- One of the following certifications: CCRN, CCM, CDMS, COHN, COHN‐S if managing a WC/MCO claim.

- At least 1 year of experience handling Workers’ Compensation case management.

- Proof of current State Licensure and eligible for endorsement in all other states.

- Bi-lingual – fluent English/Spanish helpful.

- Case-management experience mandatory – at least 1 year Workers’ Compensation.

- Field case or catastrophic case management and utilization review experience is highly preferred.

- Ability to demonstrate strong focus on cost containment to manage cases in the most cost-effective way while ensuring quality medical care.

- Maintain knowledge of current trends, standards, and law changes.

- Self-directed and able to work independently.

- Effective operation of a personal computer and related claims and business software.

- Good communication skills, both oral and written.

- Team player with superb customer service skills.

### Benefits

- Medical, dental, and vision plans.

- 401(k) plan with employer matching.

- Time-off policies, including Discretionary Time Off (DTO) and Paid Time Off (PTO).

- Paid holidays.

- Life insurance and short-term and long-term disability coverage.

## Skills

### Required
- RN
- Workers’ Compensation case management
- CCRN
- CCM
- CDMS
- COHN
- COHN‐S
- State Licensure

### Nice to have
- Bi-lingual English/Spanish
- Field case or catastrophic case management
- Utilization review experience
- Spanish

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Source: [Apply at davies.pinpointhq.com](https://davies.pinpointhq.com/en/postings/b9ba3a21-42f2-4152-b968-a74379b08b43?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)