Nurse Case Manager - New Orleans, LA
15 hours ago
Job description
COMPANY SUMMARY
The American Equity Underwriters, Inc. (AEU) delivers specialized coverage and risk management solutions to waterfront employers across the United States. As an industry leader in U.S. Longshore and Harbor Workers' Compensation (USL&H), AEU also provides state act workers' compensation, Maritime Employers' Liability (MEL), marine general liability, and automobile liability for waterfront employers. AEU provides services such as claims handling, loss control, and underwriting, as well as longshore consulting and leadership training to help businesses protect their people and manage risk with confidence.
JOB DESCRIPTION
The Nurse Case Manager will be expected to effectively collaborate with the interdisciplinary team on a regular basis in both a verbal and written capacity. They must be adept in their abilities to assess, plan, implement, coordinate, monitor, and evaluate clinical options and services to promote optimal patient/injured worker outcomes. They should have a strong capability to comprehend and facilitate cost-effective care to ensure medical services are provided in an optimal clinical setting as well as in a timely manner. The Case Manager will assist claims specialists and the medical management team in ensuring compliance with evidence-based guidelines, organization clinical protocols, and Medicare Secondary Payer Act.
KNOWLEDGE AND SKILL REQUIREMENTS
- Bilingual in English/Spanish strongly preferred
- Advanced clinical knowledge
- Minimum of 5 years of nursing and nurse case management experience
- Minimum of 1 year of experience in the workers' compensation industry preferred
- Musculoskeletal and/or trauma experience a plus
- Track record and comfort in collaborating with interdisciplinary teams and providers
- Ability to lead and coordinate activities with a diverse group of individuals
- Conversant knowledge and experience with case management care coordination and/or utilization review
- Demonstrated ability to critically think and effectively problem solve
- Exceptional communication skills
- Basic knowledge and experience in Microsoft Office programs
- Excellent time-management skills
EDUCATION/LICENSING
- Minimum: Graduate of an accredited school of nursing, degree in nursing science, or other qualification recognized by the state(s) which possesses nurse licensure
- Bachelor's Degree preferred
- Active registered nurse license
WORKING ENVIRONMENT
- This is an in-office position where employees enjoy a comfortable working environment in a modern-classic office space with beautiful views
- Named one of the Best Companies to Work for in Alabama for six years straight
- Collaborative, positive, and engaging company culture
- Strong tradition of corporate charitable promotion
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