Telephonic Nurse Case Manager - Metairie, Louisiana - NurseRecruiter.com

Permanent Nursing Job in
Metairie , Louisiana, 70002

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JOB: Case Management
PHYSICAL LOCATION: Metairie, Louisiana
JOB TYPE: Full Time In-Office Position

SUMMARY:
Metairie-based national Longshore Workers’ Compensation program administrator is adding a nurse case manager to their team. This will be an in-office position.

The Nurse Case Manager must possess strong clinical knowledge and experience in the workers’ compensation industry. The Case Manager will be expected to effectively collaborate with the interdisciplinary team, claims specialist team, providers and vendor field case managers. The Case Manager must be skilled in abilities to assess, plan, implement, coordinate, monitor and evaluate clinical options and services to promote optimal patient/injured worker outcomes. The Case Manager must grasp understanding of cost-effective care to ensure medical services are provided in the most clinically appropriate setting and in a timely manner. The Case Manager will assist claims specialist and medical management team in ensuring compliance with evidence-based guidelines, organizational clinical protocols and Medicare Secondary Payer Act.

Job Requirements

EDUCATION:
Minimum: Graduate of an accredited school of nursing, degree in nursing science, or other qualification recognized by the state(s) which possess nurse licensure.
Preferred: Bachelor's Degree

EXPERIENCE:
Five (5) years nursing and nurse case management experience. One (1) year minimum experience in the workers’ compensation industry preferred.

REQUIRED CERTIFICATION/LICENSURE/REGISTRATION:
Active registered nurse license

OTHER QUALIFICATIONS:
Conversant knowledge and experience with case management care coordination, and/or utilization review.
Track record and comfort in collaborating with interdisciplinary team and providers.
Ability to lead and coordinate activities of a diverse group of people.
Demonstrated ability in critical thinking, problem solving and communications.
Basic skills with computers including Microsoft Outlook, Word and Excel required.

Location

Metairie, Louisiana , 70002

Employment Type

Permanent

Compensation

$70K - $80K per year

Employer

The American Equity Underwriters, Inc.

Date Posted

Aug 31st, 2021

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