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Telephonic Complex Nurse Case Manager
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$88,000 - $100,000
Full-time
- Overview AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Complex Care Case Manager, RN for Workers Compensation.
- These responsibilities may include utilization review, pharmacy oversight and care coordination.
- Coordination of medically appropriate care where multiple services may be needed such as discharge planning for hospitalizations, pain and symptom management, home health, provider home visits, home based palliative care or assistance with daily living activities.
- Communicates effectively both verbal and written with medical professionals, claims adjuster, client, vendor, supervisor and other parties as needed to negotiate, coordinate appropriate medical care and effective return to work plans utilizing critical thinking skills, clinical expertise and other resources needed to achieve an optimal case outcome.
- Partners with the adjuster to develop medical resolution strategies to achieve maximal medical improvement or the appropriate outcomeEvaluate and update treatment and return to work plans within established protocols throughout the life of the claim.
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