RN Telephonic Nurse Case-Manager – FL Workers’ Compensation

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.

As a Telephonic Nurse Case Manager on our team, you would be responsible for monitoring, evaluating and coordinating the delivery of high quality, timely, cost-effective medical treatment and other health services under Workers’ Compensation law, as needed by an injured employee to promote an appropriate return-to-work. Must have at least one year of Florida Workers’ Compensation or occupational case management experience.  You will also perform ongoing assessments of the injured employee’s recovery to ensure high quality of care, reduce recovery time and minimize the effects of injury. Work from home.

What You’ll Be Doing:

• Providing telephonic case-management in a Workers’ Compensation environment; focusing on medical appropriateness of care to injured worker with cost savings by coordination and utilization of all services, ensuring that as soon as medically feasible, return-to-work status is achieved, along with increase in productivity.

• Facilitating communication between the employee, the employee representative, employer, employer representative, insurer, health care provider, the medical services organization and when authorized, any qualified rehabilitation consultant, to achieve the goals.

• Clinically evaluating the recovery needs of an injured employee after the initial contact assessment.

• Evaluating treatment plans and documenting outcomes. Tracking protocol management for appropriate utilization and delivery of medical services.

• Serving as a patient advocate adhering to all legal, ethical and accreditation/regulatory standards.

• Performing other duties as needed.

What You’ll Need:

• Registered Nurse RN with a minimum of three years clinical experience (orthopedic, neurological, neuromuscular, ICCU, industrial or occupational).

• At least ONE year of Florida Workers’ Compensation or occupational Case Management experience required (per client contract).

• Must be able to work a computerized 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.

• Ability to work effectively in fast-paced environment, using own initiative, effectively multi-task and prioritize.

• Bi-lingual helpful (English/Spanish).

What We Offer:

• 5 weeks Paid Time Off, plus Floating Holiday, Culture Day and 10 regular company-paid holidays. 

• Competitive pay, based on experience.

• Generous benefits package, including medical, dental vision, life insurance, etc.

• Financial wealth-building options, including 401(k) with company match and Employee Stock Purchase Plan

Who We Are:

At USIS/AmeriSys, we provide Third Party Claims Administration and Medical Management for Workers’ Compensation and Liability claims on behalf of our customers.  As a recertified 2022 – 2023 Great Place to Work®, we pride ourselves on our friendly, team-orientated work environment. Our energetic team, supportive leaders, and can-do attitude enhance a sense of collaboration and belonging in our teammates.

Our focus is on quality, professional, superior service.  This service-driven philosophy, conveyed throughout the organization, means we operate with the customers’ best interests at heart, constantly reinforcing our mission – Service Beyond the Contract. 

Just like the distinct spots on a cheetah, the mascot of our parent company, Brown & Brown, every teammate at USIS is unique and we are passionate about embracing our diversity.  Our team is connected through shared core values of integrity, grit and The Power of WE, which are part of our cultural DNA.

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