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Insight Global

Telephonic Insurance Case Manager - Georgia

Career Insights for Nurse Case Manager

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What they do

A Nurse Case Manager applies nursing expertise to coordinate a patient's medical care and provides advocacy to help them get the best and most affordable care. Develop care plans including discharge planning, coordinate delivery among providers, and teach patients and families how to follow the plan. They may also help patients navigate insurance and other healthcare bureaucracies and access related social services. May work with patients who have chronic illnesses or other complex medical needs. Works at a hospital or other healthcare facility; may follow patients throughout the span of their treatment.

$68,696 / year median in Georgia

+4% projected growth

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Job Description

Job Description Insight Global is searching for a Case Management Nurse to join their clients team. The ideal candidate will utilize clinical expertise to review and coordinate medical care for injured employees, ensuring treatment is medically necessary, cost-effective, and supports timely recovery and return to work. They will partner with adjusters, providers, employers, and other stakeholders to manage treatment plans, document case activities, drive claim resolution, and maintain compliance with regulatory and quality standards. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.

To learn more about how we collect, keep, and process your private information, please review
Insight Global's Workforce Privacy Policy:
https://insightglobal.com/workforce-privacy-policy/. Skills and Requirements o Active Georgia Compact RN License o 8 years of experience in the Clinical Nursing space o Minimum 3 years of experience within Case Management o Bachelor's Degree in Nursing (BSN) or equivalent experience o Knowledge of workers' compensation case management, utilization review, injury management, and return-to-work practices, with expertise in regulatory guidelines, pain management, and behavioral health. CCM Certification (or ability to obtain in the first 6-12 months of employment)