Medical Case Manager

AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Telephonic Medical Case Manager, RN.

• →Active unrestricted RN license in required, NJ Compact is preferred.
• →Bachelor's degree in nursing (BSN) from accredited college or university or equivalent work experience preferred.
• →Certification in case management, pharmacy, rehabilitation nursing or a related specialty is highly preferred.
• →Ability to acquire, and maintain, appropriate Professional Certifications and Licenses to comply with respective state laws may be required
• →Preferred for license(s) to be obtained within three - six months of starting the job.
• →Written and verbal fluency in Spanish and English preferred

Experience

Five (5) years of related experience or equivalent combination of education and experience required to include two (2) years of direct clinical care OR two (2) years of case management/utilization management required. 

• Knowledge of workers' compensation laws and regulations
• Knowledge of case management practice
• Knowledge of the nature and extent of injuries, periods of disability, and treatment needed
• Knowledge of URAC standards, ODG, Utilization review, state workers compensation guidelines
• Knowledge of pharmaceuticals to treat pain, pain management process, drug rehabilitation
• Knowledge of behavioral health
• Excellent oral and written communication, including presentation skills
• PC literate, including Microsoft Office products
• Leadership/management/motivational skills
• Analytic and interpretive skills
• Strong organizational skills
• Excellent interpersonal and negotiation  skills
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies 

When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboardingAuditory/Visual: Hearing, vision and talking 

The expected salary range for this role is $66,900-90,000.00. 

Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.

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