Managed Care Specialist/Telephonic Nurse Case Manager
Summit
20 reviews
Lakeland, FL 33810
Full-time
Summit
20 reviews
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Job details
Job Type
Full-time
Full Job Description Headquartered in the Central Florida city of Lakeland, Summit employs over 700 office and field associates at its main location and regional offices in Baton Rouge, Louisiana, and Gainesville, Georgia. As the people who know workers’ comp, we strive to provide an atmosphere of constant growth and development for our employees.
Summit provides workers’ compensation programs and services to thousands of employers throughout the Southeast.
Summit is a member of Great American Insurance Group, a company that focuses on building relationships and linking people to various career paths. Whether it’s underwriting, claims, accounting, IT, legal, or customer service, Great American Insurance Group combines a small-company entrepreneurial atmosphere with big- company expertise.
Essential Job Functions and Responsibilities • Monitors and facilitates each claimant's medical treatment to ensure appropriate, effective, cost-efficient, and quality care.
• Coordinates with vendors of rehabilitative services to ensure that services are consistent with the diagnosis and the goal of returning the claimant to employability and/or normal activities.
• Coordinates attendant care supervision, including the selection of appropriate care facilities. Assigns cases to vendors for utilization review.
• Provides professional advice and expertise to Claims staff in developing and providing medical and cost control procedures.
• Provides technical advice to lower level associates and other functional areas.
• Leads the work of others (mentors, prioritizes, delegates and reviews assignments).
• May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports.
• Performs other duties as assigned.
Job Requirements Education: Bachelor's Degree or equivalent; R.N. (Registered Nurse) or L.P.N. (Licensed Practical Nurse) preferred. Field of Study: Business, Biology, Nursing or a related discipline. Experience: 6 to 10 years of related experience, including Case Management experience. This job is non-exempt in California
Company:
SCI Summit Consulting, LLC
Number of Positions:
1