Case Manager

April 10

🐊 Florida – Remote

Although this job is listed in Florida, this company may be open to hiring remote in other states.

🌽 Illinois – Remote

Although this job is listed in Illinois, this company may be open to hiring remote in other states.

+3 more states

🐊 Florida – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🏰 Missouri – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

🦅 H1B Visa Sponsor

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Acrisure

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Acrisure is a company that provides a wide range of insurance, risk management, and financial services solutions. They offer personal insurance, mortgages, business insurance, and employee benefit services, as well as cybersecurity and managed IT resources. Acrisure is known for expanding their reinsurance capabilities internationally and has garnered recognition such as the 'Broker of the Year' award. The company is also involved in community outreach and partnerships, such as with the Pittsburgh Steelers. Acrisure is committed to delivering innovative solutions and maintaining strong industry leadership.

Commercial Property and Casualty • Risk Management • Loss and Claims Management • Employee Benefits • Professional Employer Organization

10,000+ employees

Founded 2013

💸 Finance

📋 Description

• Promotes and restores individuals' health and wellbeing by completing “a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality cost-effective outcomes.” ~CMSA Standards of Practice • Identifies care needs by establishing personal rapport with clients and other persons in a position to understand care requirements. • Conducts a comprehensive assessment of the client’s health and psychosocial needs, including health literacy status and deficits, and develops a case management plan collaboratively with the client and family or caregiver. • Establishes an advocacy environment by providing emotional, psychological, and compassionate support to clients, friends, and families. • Plans with the client, family, or caregiver, the primary care physician/provider, other health care providers, the payer, and the community, to maximize health care responses, quality, and cost-effective outcomes. • Promotes client's independence by establishing clear goals; educating the client, the family or caregiver, and members of the health care delivery team about treatment options, community resources, payer benefits, psychosocial concerns, case management, etc., so that timely and informed decisions can be made. • Assures quality of care by adhering to best practice standards; measuring health outcomes against client care goals and standards; making or recommending necessary adjustments; following case management and health or human service discipline’s philosophies and standards of care set by state board of nursing, applicable practice act, and other governing agency regulations. • Facilitates communication and coordination between members of the health care team, involving the client in the decision-making process in order to minimize fragmentation in the services, encourage the appropriate use of health care services, and maintain cost effectiveness. • Resolves client problems and needs by utilizing multidisciplinary team strategies, empowering the client to problem solve by exploring options of care and alternative plans to achieve desired outcomes. • Strives to promote client self-advocacy and self-determination. • Assists the client in the safe transitioning of care to the next most appropriate level. • Advocates for both the client and the payer to facilitate positive outcomes for the client, the health care team, and the payer. However, if a conflict arises, the needs of the client must be the priority. • Documents case management services in client records. • Maintains client confidence and ethical and HIPAA standards by keeping information confidential. • Maintains professional and industry knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies. • Maintains a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team problem-solving methods. • Contributes to Ascential Care Partners team effort by reflecting company philosophy and demonstrating ardent customer service-related results. • Other duties as assigned from time to time.

🎯 Requirements

• Current, active, and unrestricted Registered Nurse licensure with a degree from an institution that is fully accredited by a nationally recognized educational accreditation organization. • A minimum of two years’ full-time work providing direct clinical care. • Excellent interpersonal skills, phone courtesy, and organizational skills. • Proficient in Microsoft Office products. • Ability to maintain accurate records, prepare reports, correct English usage, and maintain confidentiality. • Home office provision with access to high-speed internet and reliable cell phone network coverage. • Preferred Qualifications: • Bi-lingual (English and Spanish) RN License. • Five years’ experience in case management; preferably in workers’ compensation. • Certification in the case management field or agreement to obtain certification within four (4) years. Recognized certifications include A-CCC, CCM, CDMS, CMAC, CMC, CRC, CRRN, and COHN.