Experienced Full Stack Customer Care Nurse – Remote Claims Intake and Case Management
We're determined to make a difference and are proud to be an innovative healthcare solutions provider that goes well beyond medical services and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team at careerzynith as we help shape the future of patient care and outcomes. Our team is committed to driving exceptional patient experiences by delivering outstanding care, great outcomes, and personalized support. We have some of the best healthcare professionals in the industry! As a Customer Care Nurse, you will work in a fast-paced remote environment where you play a pivotal role in the claims intake process for injured patients. This dynamic and experienced team of medical professionals work remotely across the United States to facilitate Short-Term (STD) and Long-Term Disability (LTD) case files. The successful Customer Care Nurse typically handles 35-40 calls per day, which allows them to obtain critical medical information relevant to the patient's claim file. During these short 15-minute intake calls, the Customer Care Nurses use their keen clinical skillset to assess, document, and review the medical acuity of a patient's condition. Our exceptional team of clinical professionals model empathy and compassion as they walk the patient through the intake process.
Key Responsibilities:
* Provide patients with an explanation of the intake and subsequent claims process expectations
- Effectively assess, evaluate, and document a patient's medical information to initiate the claim process while simultaneously reviewing functional limitations or work accommodations
- Gather medically diagnosed restrictions and/or limitations for Return To Work expectations
- Determine the medical complexity and appropriate assignment duration and/or a medical milestone for the assigned claim
- Accurately enter patient/physician intake information into our claims technology platform for the appropriate tracking of all clinical impressions, which enables a Claims Ability Analyst to facilitate a claim decision based on a patient's functional condition
- Effectively communicate complex medical information to a patient in a clear, simple, and concise manner
- Demonstrate sound medical knowledge and clinical assessment in a time-sensitive claim intake
Essential Qualifications:
* Active LPN/LVN license is required; RN licenses will be considered
- Minimum of 12 months of practicing clinical experience with broad spectrum knowledge about anatomy and physiology
- Clinical Case Management experience preferred
- Excellent communication skills (oral/written)
- Excellent keyboard/automation skills
- Working proficiency of MS Office (Word, Excel, Outlook & PowerPoint)
- Prefer candidates in either the West or Central time zones
Preferred Qualifications:
* Experience working in a remote or virtual environment
- Strong analytical and problem-solving skills
- Ability to work in a fast-paced environment with multiple priorities
- Strong attention to detail and organizational skills
- Ability to maintain confidentiality and handle sensitive information
Skills and Competencies:
* Strong clinical knowledge and assessment skills
- Excellent communication and interpersonal skills
- Ability to work effectively in a remote environment
- Strong analytical and problem-solving skills
- Ability to prioritize tasks and manage multiple priorities
- Strong attention to detail and organizational skills
- Ability to maintain confidentiality and handle sensitive information
Career Growth Opportunities and Learning Benefits:
* careerzynith offers a comprehensive training program to ensure our Customer Care Nurses have the skills and knowledge needed to succeed in their roles
- Opportunities for professional growth and development through ongoing education and training
- Collaborative and supportive work environment that encourages open communication and feedback
- Recognition and rewards for outstanding performance and contributions to the team
Work Environment and Company Culture Highlights:
* careerzynith is committed to creating a diverse and inclusive work environment that values and respects the contributions of all employees
- Our team is passionate about delivering exceptional patient care and outcomes, and we're looking for like-minded professionals to join us on this journey
- careerzynith offers a comprehensive benefits package, including medical, dental, and vision insurance, as well as a 401(k) retirement plan
- We're committed to work-life balance and offer flexible scheduling and remote work options to support our employees' needs
Compensation and Perks:
* The annualized base pay range for this role is $63,760 - $95,640
- careerzynith offers a comprehensive benefits package, including medical, dental, and vision insurance, as well as a 401(k) retirement plan
- Opportunities for short-term or annual bonuses, long-term incentives, and on-the-spot recognition
- Flexible scheduling and remote work options to support work-life balance
Equal Opportunity Employer:
careerzynith is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating a workplace that is inclusive and respectful of all employees, and we strive to provide equal opportunities for employment, training, and advancement.
How to Apply:
If you're ready for this challenge, apply now and let's discuss how you can become a vital part of our success story. Apply for this job