Nurse Case Manager
2 weeks ago
We are seeking a skilled Nurse Case Representative to join our team at Plymouth Rock Assurance. As a Nurse Case Representative, you will play a vital role in medically managing the treatment of our customers injured in an automobile accident.
Key Responsibilities- Obtain and assess medical information related to the injury to ensure accurate and timely medical management.
- Document case activities and action plans to maintain a clear and concise record of the claim.
- Respond to incoming phone calls and faxes in a timely manner to ensure statutory timeframes are met and excellent customer service is provided.
- Work closely with Medical Directors and treating providers to assess, implement, and evaluate medical treatment provided to the injured person.
- Schedule independent medical examinations to ensure the claim is handled efficiently and effectively.
- Address all aspects of medically managing the claim, including candidate must have the ability to multitask in time-sensitive situations.
- Candidate must have strong organization, verbal and written communication skills and have the ability to work in a team environment.
- Current New Jersey/New York RN or LPN license.
- Organized, motivated, self-starter with excellent medical assessment skills.
- Minimum of 2 years clinical experience.
- Proficient in navigating through multiple system applications.
- Prior utilization review experience from a NJ/NY Automobile, Workers Comp, or Managed Care company is a plus.
Plymouth Rock Assurance and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of "A-/Excellent".
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RN Case Manager
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RN Case Manager
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Case Manager RN
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Clinical Nurse Manager RN
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Medical Claims Specialist
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Woodbridge, New Jersey, United States Plymouth Rock Assurance Full time{"title": "Nurse Case Representative", "description": "Job SummaryWe are seeking a skilled Nurse Case Representative to join our team at Plymouth Rock Assurance. In this vital role, you will medically manage the treatment of our customers injured in an automobile accident in accordance with state and company guidelines.Key ResponsibilitiesMedically manage...
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