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Telephonic Case Manager

4 months ago

Phoenix, United States Ethos Risk Services Full time
Job DescriptionJob Description

Ethos Risk Services is continuing to expand our Medical Management Department - and we're looking for a Licensed RN to be part of our growing team as a Telephonic Case Manager.


ETHOS RISK SERVICES: WHAT DRIVES US

Ethos Risk is one of the largest and most well-respected insurance claim processing and fraud investigations businesses in the US. Join us in uncovering the facts, keeping insurance costs from rising, and serving our clients in a fully remote position. At Ethos, you'll find more than just a job - you'll discover a purposeful career and a supportive team that celebrates high performers, values employees, and delivers results.


WHAT DOES A TELEPHONIC CASE MANAGER DO?

As a Telephonic Case Manager, you will review claims based on criteria and protocols in accordance with state and regulatory agency compliance, for workers' compensation.


WHO WE'RE LOOKING FOR:

We're seeking a self-starting, critical thinking team member to join us. Critical requirements include:

  • Registered Nurse
  • Certified Case Manager (CCM) or Certified Disability Management Specialist (CDMS)
  • Bilingual, English/Spanish
  • Prior experience in a managed care or workers' compensation environment
  • Excellent customer service skills
  • Strong oral and written communication skills
  • Computer knowledge required, including Microsoft Office products
  • Able to perform as part of a team
  • Strong organizational skills and excellent people skills
  • Discretion and confidentiality
  • Strong ability to review medical records and identify critical details impacting medical treatments and medical necessity determinations
  • Must be initiative-taking, independent, and accountable
  • Strength in multi-tasking and clinical prioritization

Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic protected by law.



A background check will be conducted, in accordance to the local state law and regulations.



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