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

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Job Description
Case Manager RN - Workers Compensation - 2463
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

Moderate to heavy keying required.

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

Compensation
• CCM, CRRN or COHN (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 Apr 10, 2013, 11:59:59 PM

Blue Cross Blue Shield of Florida - 20 months ago - save job - block
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