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Part-Time Nurse Case Manager - (Lakeland) in Lakeland, Florida For Sale

Seller:
Type: Medical, For Sale - Private.

Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Xerox offers business process outsourcing and IT outsourcing services, including data processing, healthcare solutions, HR benefits management, finance support, transportation solutions, and customer relationship management services for commercial and government organizations worldwide. The company also provides extensive leading-edge document technology, services, software and genuine Xerox supplies for graphic communication and office printing environments of any size. Xerox serves clients in more than 160 countries. For more information, visit www.xerox.com, www.news.xerox.com, www.realbusiness.com or www.xerox.com/businessservices. If you meet the requirements of this position and want to work for a world-class company with a great marketplace reputation, apply today. This PRN part-time position of a telephonic Nurse Case Manager is responsible for providing early intervention in the medical and return to work management processes for injured workers. The NCM collaborates with all customers involved in the process to assess, plan, implement, coordinate, monitor and evaluate options and services required to achieve quality, cost-effective outcomes related to optimal medical improvement and minimizing lost time. Minimum Qualifications 1. Active and unencumbered Registered Nurse licensure in state of residence 2. 2-3 yrs direct clinical patient care with experience in orthopedic, neurological, rehabilitation, medical/surgical or occupational health 3. URAC recognized certifications in one of the following: ACM, CCM, CDMS, CMAC, CMC, CRC, CRRN, COHN, COHN-S, RN-BC or agreement to obtain this within 4 years from date of hire 4. Ability to work independently and/or in a team setting 5. Seeks appropriate guidance of supervisory personnel 6. Strong organization skills, time management 7. Excellent keyboard and PC automation skills Preferred Qualifications 1. Bachelors degree (or higher) in a health or human services related field 2. 2-3 years prior experience in workers' compensation case management and/or utilization review process 3. Prior experience in ancillary services operations to include Life-care planning, Medicare set asides, cost projections as well as auto and liability case management 4. Certification: CCM, CDMS, CRRN, COHN 5. Bilingual (English/Spanish) Primary Responsibilities 1. Provides telephonic case management in a workers' compensation environment 2. Conducts and documents an initial assessment with the injured worker, employer, and provider to collect information needed to collaboratively formulate a case plan. 3. Develops appropriate treatment plans with a balance between quality of care and cost-effectiveness 4. Performs medical cost projections for claims examiners, when requested. 5. Adheres to URAC standards 6. Facilitates early intervention for return to work programs 7. Provides medical and/or disability case management services including review and evaluation of WC claims 8. Participates in file reviews, roundtables on complex and catastrophic cases 9. Documentation is clear, concise and reflects strong technical and clinical knowledge and effective communication skills 10. Provides effective vendor management when assessing or managing cases. This includes appropriate timing of vendor use, cost benefit, vendor selection and vendor purpose 11. Serves as an informational and medical resource for the claims administration staff 12. Supports other team members to enhance overall team performance 13. Provides prospective, concurrent and retrospective review services on cases assigned Collateral Responsibilities 1. Optional on-call responsibilities 2. Travel for file reviews 3. Coverage for Nurse Case Managers on team 4. Performs additional duties on specified accounts, such as evaluation, triage, and chart reviews based on predictive modeling scores or resolution role for peer to peer nursing consultation on aged, duration claims focusing on resolution and end case outcome. /Xerox is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, sex, marital status, sexual orientation, physical or mental disability, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply or compete for employment with Xerox may request such accommodation(s) by sending an e-mail to accommodations@xerox.com. Be sure to include your name, the job you are interested in, and the accommodation you are seeking./ **Job:** *Service Delivery, Healthcare* **Organization:** *Workmans Comp Site* **Title:** *Part-Time Nurse Case Manager* **Location:** *Florida-Lakeland* **Requisition ID:** *xxxxxxxx* **Virtual/work from home?** *Yes*
Source: http://www.juju.com/jad/xxxxxxxxl8ay1p?partnerid=af0exxxx314cbc501beebacaxxxx739d&exported=True&channel=staticfile&hosted_timestamp=xxxxa345f27ac5dc3ecxxxxcbxxxx1b111ac1f48fxxxxc74dcb0dxxxx12fe053

State: Florida  City: Lakeland  Category: Medical
Medical in Florida for sale

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