Case Manager RN Workers Compensation SFL
Florida Blue - Fort Lauderdale, FL

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Job Description
Case Manager RN Workers Compensation-SFL - 2558
Description
Job duties include but are not limited to the following:
• Responsible for all aspects of medical care and case management, working

collaboratively with an adjuster to ensure provision of medical case

management per the criteria based model
• Provide telephonic case management of Workers’ Compensation claims by

facilitating and coordinating all aspects of the injured worker’s medical

care in a timely manner with consideration to the criteria based model
• Interact with strategic partners to obtain or clarify clinical information
• Compare clinical information against the appropriate criteria set
• Authorize medical care and practice medical costs containment skills
• Provide medical authorization in a timely manner
• Maintain high standard of file documentation to ensure attention to detail and file

accuracy
• Work collaboratively with Adjuster/ Assistant team to ensure continuity of care
• Assist with the development of internal procedures and training concerning medical

case management
• Assist with ad hoc projects as assigned

Job Requirements:
• Current Florida RN license
• 2+ years clinical nursing experience, including 1+ years related experience in

Workers’ Compensation
• CCM or CRRN (or must obtain within 1 year)
• PC experience with windows-based environment (Word/Excel)
• Occasional travel

Business Specific Criteria (Preferred Skills):
• Experience with Workers’ Compensation database system
• Utilization management/cost containment experience
• Bi-lingual (Spanish-English) or (Creole-English)

Primary Location Ft. Lauderdale

Organization Comp Options Insurance Co Inc
Schedule Full-time
Posting Deadline Ongoing

Blue Cross Blue Shield of Florida - 18 months ago - save job - block
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