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About The Role

Brighton Health Plan Solutions (BHPS) provides Utilization Review/Medical and Case Management services for Group Health and Workers’ Compensation and other Casualty clients.  The Workers’ Compensation Intake Nurse reaches out to injured workers to determine the type of care needed immediately after an injury. The Intake Nurse reports to the Casualty Department Manager.

Primary Responsibilities

+ Collaborates with workers' compensation patients and claims adjusters to coordinate medical services.

+ Produces accurate electronic records of individual cases.

+ Ensures timely, cost-effective medical care for injured workers.

+ Kind, caring, and positive with all customers and fellow employees.

+ Adheres to established quality assurance standards and MagnaCare policies and procedures.

+ Participates in up to 10% of employed time in QA activities.

Essential Qualifications

+ Currently Licensed Practical Nurse (LPN) or Register Nurse (RN)

+ Minimum of 2 years’ experience in a clinical environment required.

+ Previous workers’ compensation case management experience a plus.

+ Strong skills in medical assessment.

+ Excellent customer service skills.

+ Ability to define and solve problems, collect data, establish facts and make effective decisions a must.

+ Must be detail-oriented and have strong organizational and time management skills, and the ability to work independently

+ Ability to work proficiently on a computer (PC) with working knowledge of Microsoft Office, especially Word, Excel, and Outlook.

About

At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you’ll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion, and a sense of belonging at every level. Here, you’ll be encouraged to bring your authentic self to work with all your unique abilities.

Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today’s healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes, and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today’s challenges into tomorrow’s solutions. Come be a part of the Brightest Ideas in Healthcare™.

Company Mission

Transform the health plan experience – how health care is accessed and delivered – by bringing outstanding products and services to our partners.

Company Vision

Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways.

DEI Purpose Statement

At BHPS, we encourage all team members to bring your authentic selves to work with all your unique abilities.   We respect how you experience the world and welcome you to bring the fullness of your lived experience into the workplace.  We are building, nurturing, and embracing a culture focused on increasing diversity, inclusion and a sense of belonging at every level.

*We are an Equal Opportunity Employer

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