RN Triage Telephonic Nurse Case-Manager – FL Workers’ Compensation

USIS, Inc.

Altamonte Springs, FL

Job Category: Other

Division: Services

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Job Summary

USIS, Inc., a subsidiary of Brown & Brown, Inc., is seeking a skilled RN Triage Nurse Case-Manager to perform telephonic initial triage assessment of injured workers under Florida Workers’ Compensation law.  Our team will rely on the selected candidate to ensure high quality of care and reduce recovery time to promote an appropriate, prompt return to work. In this role, the selected candidate will be responsible for clinically evaluating the recovery needs of an injured employee after the initial contact assessment. They will incorporate 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 for the right candidate.

 

Essential Duties:

  • Provide 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 return-to-work status is achieved as soon as medically feasible.
  • Utilize keen clinical assessment skills to ascertain all pertinent information from the injured employee to facilitate appropriate care.
  • Clinically evaluate the recovery needs of an injured employee after the initial contact assessment. Incorporate information obtained from the employer and provider into the initial plan.
  • Facilitate 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.
  • Anticipate health needs during the case-management process and educate the patient and family appropriately. Encourage the injured worker to participate in the recovery plan.
  • Serve as a patient advocate adhering to all legal, ethical and accreditation/regulatory standards.
  • Participate 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.
  • Perform other duties as needed.

Required Skills

  • Registered Nurse RN with a minimum of 3 years clinical experience (orthopedic, neurological, neuromuscular, ICCU, industrial or occupational).
  • Excellent clinical assessment skills required.
  • Florida Workers’ Compensation case management or occupational experience helpful.
  • Bi-lingual helpful (English/Spanish).
  • Must be able to work a 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. Good customer service skills and strong organizational skills.
  • Must be technically adept to utilize systems and software in an efficient and effective manner with dual monitors and multiple data entries.
  • Ability to work effectively in fast-paced environment, using own initiative, effectively multi-task and prioritize.
  • Positive and enthusiastic attitude, self-motivated professional for a fun, friendly work environment.

 

Recertified 2020 – 2021 Great Place To Work®. Long-term company with excellent work environment, great people and wonderful team spirit.  Top notch benefits including medical, dental, STD, LTD, life, Employee Stock Purchase Plan, 401-k with company match, 3-5 weeks average Paid Time Off/year, floating holiday, regular holidays; eligible 1st of month after 30 days.

Salary Range

$63,000 to $65,000, based on experience.

Contact

Human Resources Department at [email protected]

We are an Equal Opportunity Employer. We take pride in the diversity of our team and seek diversity in our applicants.