RN Telephonic Nurse Case Manager – Atlanta, GA (Workers Comp)

Remote from home with local presence for occasional visits. Providing quality service and accurate results supports Ascential Care Partners primary mission as a trusted adviser to our clients. As Nurse Case Manager (full or hybrid) you will be working in a fast-growing company and work environment. Your valuable role requires working closely with treating physicians/providers employers claim representatives legal representatives and the injured/ disabled person to create and implement safe and effective Return to Work plans and facilitate appropriate and cost-effective medical services to achieve maximum medical improvement and recovery. As a member of our team you will continue to reinforce Ascentials mission of being a market leader and collaborative partner to current and prospective customers and partners.

Job Duties: Reasonable accommodation may be provided to enable individuals with disabilities to perform the essential functions.

Case Management & Application of Knowledge:

• Demonstrate and apply knowledge of case management standards injuries medications treatment options and job duties to advise on and implement treatment plans
• Adhere to ethical guidelines and best practice standards ensuring quality of care.

• Collaboration & Communication:
  • Collaborate telephonically and in-writing when needed with injured workers claims representatives employers and healthcare providers to achieve optimal return to work and claim outcomes
  • Facilitate telephonic and written communication and coordination with appropriate parties
  • Maintain regular frequent telephone and written contact with patients throughout the claim assignment
  • Involve patients in decision-making and encourage their appropriate use of healthcare services to maximize health outcomes and maintain cost-effectiveness.
• Patient-Centered Care & Advocacy:
  • Assess patient needs provide support and advocacy promote self-advocacy and self-determination
  • Assist in safe transitioning of care and resolve problems using multidisciplinary strategies always prioritizing patient needs.
• Documentation & Confidentiality:
  • Maintain accurate documentation of case management services in client records
  • Uphold patient confidentiality and adhere to HIPAA standards.
• Quality Assurance:
  • Ensure quality of care by adhering to standards measuring outcomes making necessary adjustments and following ethical guidelines.
  • Reflect the companys philosophy by demonstrating ardent customer service-related results.
• Professional Development:
  • Maintain professional and industry knowledge through continuous learning networking and participation in professional activities.
  • Maintain state license(s) and certifications required for this role.
• Workload Management:
  • Manage assigned workload independently prioritizing cases evaluating progress and modifying goals to improve treatment effectiveness and claim outcomes.
  • Physically attend client visits on an as needed basis.
  • Perform other duties as assigned

Skills/Qualifications:

• Credentials:
  • Candidate must maintain a current active and unrestricted Georgia RN license required
  • Candidate must maintain an active CCM or CRRN required
  • Candidate maintain an active Georgia Rehabilitation Supplier Registration required

Experience:

• Two or more years full-time work providing direct clinical care
• Experience in workers comp case management required.

Education:

• Associate degree or bachelors degree in nursing

Required Skills:

• Able to think critically and strategically to accomplish case goals
• Excellent interpersonal skills and customer service focused
• Assertive and proactive in approach and communications
• Maintains confidence and tact in difficult discussions and collaborations to achieve positive outcomes
• Possesses strong organizational task prioritization and delegation skills
• Demonstrates technical proficiency in Microsoft Office products and ability to learn new software
• Ability to maintain accurate records prepare reports correct English usage and maintain confidentiality
• Ability to construct grammatically correct reports using standard medical terminology
• Ability to use a computer keyboard and mouse up to 8 or more hours per day

Work Requirements:

• This is a remote telephonic case management role serving injured workers in the Atlanta GA metro.

While most work is performed from home the nurse must be available for occasional in-person client/provider visits within the Atlanta metro area (generally within driving distance).

Overnight travel is not anticipated.

• Bilingual (Spanish/English) highly desired.
• Ability to work minimum core business hours (Mon-Fri 8:30a-5p EST).
• Must have dedicated home office space that ensures privacy with access to reliable high-speed internet
• Must have reliable transportation to support occasional in-person client visits
• Must maintain a valid drivers license with good driving history

Physical Demands:

• Telephonic / Desk-Based Work (primary)
• Sitting: prolonged periods at a computer and phone; ability to alternate sitting/standing as needed (constant).
• Keyboarding / Mouse use: fine motor skills for data entry documentation and system navigation (constant).
• Visual acuity: read electronic medical records emails and forms on screen; occasional paper review (constant).
• Hearing/Speaking: clear verbal communication by phone/video; active listening for clinical details (constant).
• Hand coordination: writing handling documents operating headset/phone (frequent).
• Light lifting: laptop small peripherals and files up to 1015 lbs (occasional).
• Driving: operate a personal vehicle for local travel to clinics/hospitals/employer sites (typically 60 miles radius); ability to enter/exit vehicle navigate parking (occasional).

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities duties or responsibilities that are required of the employee for this job. Duties responsibilities and activities may change at any time with or without notice.

Candidates should be comfortable with an on-site presence to support collaboration team leadership and cross-functional partnership.

Why Join Us:

At Acrisure were building more than a business were building a community where people can grow thrive and make an impact. Our benefits are designed to support every dimension of your life from your health and finances to your family and future.

Making a lasting impact on the communities it serves Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Childrens Hospital in Grand Rapids Michigan UPMC Childrens Hospital in Pittsburgh Pennsylvania and Blythedale Childrens Hospital in Valhalla New York.

Employee Benefits

We also offer our employees a comprehensive suite of benefits and perks including:

• Physical Wellness: Comprehensive medical insurance dental insurance and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.

• Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.

• Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.

• Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.

• and so much more!

This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location.

Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race color religion sex national origin disability or protected veteran status. Applicants may request reasonable accommodation by contacting .

California Residents: Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy.

Recruitment Fraud: Please visit here to learn more about our Recruitment Fraud Notice.

Welcome your new opportunity awaits you.