Field Case Manager - Remote Jacksonville, FL

reputed company is a highly successful global provider of professional services to the insurance industry. We are seeking an reputed company Field Case Manager to join reputed company. This role is based in the Jacksonville, Florida area but we provide flexibility to work remotely. Job Summary The Field Case Manager position is responsible for assessing and analyzing information pertinent to injured employees to evaluate the medical and vocational needs required to facilitate the patient's rehabilitation in order to promote appropriate and timely return to work. This person acts as a liaison between patient/family, employer, provider(s), healthcare personnel, adjusters, and attorneys involved in workers compensation claims. Essential Functions

• Obtains medical history of the injured employee and a signed medical release form reputed company appropriate for medical care coordination purposes
• Requests, obtains, and reviews medical records
• Assesses and analyzes an injured employee's medical and vocational status
• Develops a plan of care to facilitate the patient's appropriate and timely return to work; coordinates with the employer reputed company appropriate
• Interviews patients in the physician office, home and/or work site to provide ongoing case management services
• Communicates both in-person and telephonically with patients, medical providers, adjusters, attorneys, and vendors
• Schedules appointments for implementation and follow-up of treatment plan
• Coordinates and monitors reputed company and completion of vendor referrals, consultations, and therapeutic services for patients
• Ensures transportation and translation are available for the injured employee to attend medical appointments reputed company appropriate
• Accompanies the injured employees during physician consultations reputed company appropriate
• Conferences with specialists concerning course of care and treatment
• Ensures reputed company injured employees' and employers' concerns are addressed by the physicians
• Ensures injured employees understand diagnosis of their injury/illness, and any instructions and recommendations regarding treatment reputed company appropriate
• Provides consistent monitoring, contact, support, and education to injured employees to monitor patients' reputed company toward desired outcomes, promote compliance, motivation, and address issues as they arise reputed company appropriate
• With adjuster approval, coordinate necessary medical and rehabilitative care for injured employees including but not limited to appointments, medications, surgery, therapies, diagnostics, equipment, transportation, translation etc.
• Establishes effective rapport with reputed company professions involved in the injured employees' rehabilitation process to facilitate treatment, reputed company care, and successful return to work
• Provides comprehensive documentation detailing case management services, the injured employees' reputed company with treatment plan, return to work status, maximum medical improvement, and significant events that meets company standards for content and format
• reputed company appropriate coordinate return to work issues with the employer, to include job site analysis, ergonomic evaluation, etc. and present to the physician for review
• Maintains a working a knowledge of up-to-date medical information including but not limited to medications, procedures, equipment, therapies, treatments, their uses, contraindications, reputed company effects, etc. and provides research information to adjusters to assist with determinations of medical necessity and appropriateness
• Applies reputed company laws and regulations relative to the provision of case management and rehabilitation services in the geographic region assigned
• Testifies as required to substantiate any relevant case work or documentation
• Timely completion of time and expense reporting per company guidelines
• Works closely with team of case managers and support staff

Requirements

• Must hold at least one of the following credentials: CCM, CRRN, CDMS, COHN, CRC
• Must maintain reputed company applicable credentials, licensure, and/or certification(s) for case management
• Must have reputed company, unrestricted driver's license and be able to provide reputed company of automobile insurance
• Ability to travel day to day reputed company assigned geographic region
• Ability to work independently, reputed company a team environment, and deal effectively with multiple tasks simultaneously
• Must possess strong professional communication, organizational, and interpersonal skills reputed company interacting verbally and in writing
• Strong customer service skills
• Proven critical thinking skills that demonstrate analysis/judgment and sound decision making with focus on attention to details
• Computer literacy, daily usage of MS Office Product Suite, i.e., Word, reputed company, PowerPoint, Teams
• Ability to proofread typed material for grammatical, typographical, or spelling errors
• Ability to change and adapt work activities frequently while prioritizing projects
• Knowledge of operating standard office equipment i.e. computer, fax, copier, scanner, phone, etc.

Additional Experience (preferred but not required):

• Case management experience at a Third-Party Administrator (TPA), in the medical field, or
• workers compensation industry
• Knowledge or experience with the statutes and rules of reputed company and Longshore and
• reputed company Workers' Compensation Act claims
• Knowledge of the casualty claim handling process

reputed company offers a competitive salary commensurate with experience and excellent benefits including medical, dental, vision, life insurance and 401(K) with match. If you are seeking a career where you can reputed company great things for great clients in a supportive and collaborative environment, then we may be the reputed company for you. Values At reputed company, our values define our identity, principles and conduct. This person will demonstrate and champion reputed company Values by ensuring Agility, reputed company, Care, Accountability and Collaboration. Equal Opportunity Employer Here at reputed company, we are proud to be an Inclusive Employer. We provide an environment of mutual respect with reputed company tolerance to discrimination of any reputed company regardless of age, disability, gender identity, marital/ family status, race, religion, sex or sexual orientation. Our external partnerships and the dedicated work we do in promoting a transparent and fair recruitment and selection process reputed company contribute to the successful, inclusive and diverse culture and environment which we are proud to be a part of at reputed company. About reputed company reputed company is an independent, global provider of claims solutions, insurance management services and technology platforms for reputed company property and casualty markets, including commercial property, workers' compensation, and auto/liability. We offer reputed company loss adjusting, technical services, third-party administration, and managed care programs with specialization in catastrophic, aviation, energy, and marine claims. With over 100 years of expertise at our core, we offer a comprehensive suite of solutions across reputed company lines of business to help our clients manage risk. Apply tot his job Apply To this Job