Berkley

Workers Compensation Telephonic Nurse Case Manager (Remote)

Berkley • $75K — $88K *
US-AnywhereRemote in Manassas, VA
Healthcare
Less than 5 years of experience
1 month ago
Job Overview by Ladders

Qualifications

  • Minimum 2 years experience in workers’ compensation and medical case management preferred.
  • At least 4 years of medical/surgical clinical experience required.
  • Strong communication skills and adaptability are essential.
  • Working knowledge of vocational resources in the Workers’ Compensation industry is necessary.
  • Self-motivated with the ability to manage cases independently.
  • Proficient in computer and technology skills.
  • Bilingual in Spanish and English is an advantage.

Responsibilities

  • Coordinate medical case management to ensure timely case closures.
  • Communicate promptly with employers, adjusters, and injured workers.
  • Evaluate treatment utilization with healthcare providers for cost-effective care.
  • Analyze medical records to guide case management and recommend closures.
  • Manage varied caseloads specific to territory and jurisdiction.
  • Maintain nursing licensure across required jurisdictions.
  • Coordinate additional services and assess their effectiveness on care quality.
  • Document case activities and progress following best practices for quality improvement.
  • Collaborate with providers on job analysis for return-to-work strategies.
  • Engage in special projects as directed by leadership.

Benefits

  • Health, Dental, Vision insurance.
  • Life and Disability insurance.
  • Wellness program.
  • Paid Time Off (PTO).
  • 401(k) and Profit-Sharing plans.
Full Job Description
Responsibilities

As a Telephonic Nurse Case Manager, you will assess, plan, coordinate, monitor, evaluate and implement options and services to facilitate timely medical care and return to work outcomes of injured workers.

  • Coordinate and implement medical case management to facilitate case closure
  • Timely and comprehensive communication with with employers, adjusters and the injured workers.
  • Assess appropriate utilization of medical treatment and services available through contact with physicians and other specialist to ensure cost effective quality care
  • Review and analyze medical records and assess data to ensure appropriate case management process occurs while providing recommendations to achieve case progress and movement to closure
  • Responsible for assigned caseloads, which may vary in numbers, territory and/or by state jurisdiction
  • Acquire and maintain nursing licensure for all jurisdictions as business needs require
  • Coordinate services to include home services, durable medical equipment, IMEs, admissions, discharges, and vocational services when appropriate and evaluate cost effectiveness and quality of services
  • Document activities and case progress using appropriate methods and tools following best practices for quality improvement
  • Reviewing job analysis/job description with all providers to coordinate and implement disability case management. This includes coordinating job analysis with employer to facilitate return to work.
  • Engage and participate in special projects as assigned by case management leadership team
  • Occasionally attend on site meetings and professional programs
  • Foster a teamwork environment
  • Maintaining and updating evidence based medical guidelines (such as Official Disability Guidelines, MD Guidelines and all required state regulated guidelines) in reference to the injured worker treatment plan and work status.
  • Obtain and maintain applicable state certifications and/or licensures in the state where job duties are performed.
  • Obtain case management professional certification (CCM) within 2 years of hire date
  • Earn Continuing Education Units to maintain certifications and licensures
Qualifications
  • Minimum 2 years of experience in workers compensation insurance and medical case management preferred
  • Minimum of 4 years medical/surgical clinical experience required
  • Exhibit strong communication skills, professionalism, flexibility and adaptability
  • Possess working knowledge of medical and vocational resources available to the Workers’ Compensation industry
  • Demonstrate evidence of self-motivation and the ability to perform case management duties independently
  • Demonstrate evidence of computer and technology skills
  • Oral and written fluency in both Spanish and English a plus

 

Education

  • Graduate of an accredited school of nursing and possess a current RN license.
  • RN compact license preferred, CCM preferred, Bachelor of Nursing preferred
Additional Company Detailswww.berkleymms.com The company offers a competitive compensation plan and robust benefits package for full time regular employees • Base Salary Range: $75,000 - $88,000 • Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Additional RequirementsTravel Requirements • Domestic U.S. travel required (up to 10% of time) Sponsorship DetailsSponsorship not Offered for this Role

About Berkley

Berkley is a packaging company that develops innovative solutions to help our customers sell more product and be on the edge. Berkley offers the cost advantages and creative control of an in house/on site agency without the risk and hassle of oversight. Berkley develops turnkey retail environments – including design, manufacturing and installation services.

Berkley Careers

Joining Berkley presents a prime opportunity to be part of a team renowned for its leadership in the industry, fostering innovation and growth. Berkley, a company committed to professional excellence and diversity, offers a range of job opportunities that cater to various skills and career aspirations.

Explore Job Opportunities

Berkley is actively hiring, seeking individuals who are passionate, driven, and ready to contribute to a dynamic team environment. With a variety of positions available, Berkley provides a platform for professionals at every stage of their career, from entry-level to senior leadership roles.

Internship Programs

Kickstart a career with Berkley through comprehensive internship programs designed to provide hands-on experience in a real-world setting. Internships at Berkley are a gateway to full-time employment, offering invaluable industry exposure and networking opportunities.

Professional Growth and Development

Berkley is dedicated to the continuous professional development of its team members. The company supports career advancement through leadership training programs, workshops, and seminars that enhance skills and foster innovation.

Diversity and Inclusion

At Berkley, diversity is celebrated and actively promoted through various initiatives and diversity training programs. The company believes that a diverse workforce is key to driving creativity and innovation.

Benefits and Culture

Employees at Berkley enjoy a range of benefits designed to support their professional and personal lives. The company culture emphasizes teamwork, respect, and integrity, creating an environment where everyone can thrive.

Applying for a Position

To apply for a position at Berkley, candidates are encouraged to submit a resume that highlights relevant experience and skills. The interview process is designed to assess not only professional qualifications but also a candidate's fit with Berkley's culture and values.

Stay Connected with Berkley Careers

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Learn more about Berkley
Size
51 employees
Industry
Finance & Insurance
* Ladders Estimates

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