RN, Nurse Case Management, Risk Management – Lakeland

Location: Lakeland, FL
Job ID: 31378BR
Department: Risk Management
Working Hours: Minimum 45 hours per week
Pay Frequency: Monthly
Date Posted: Dec 18, 2024

$67k+

Hybrid

Full Time - Regular

Apply

---

Description

The purpose of this position is to provide medical evaluation, clinical management, and coordination of medical services for Publix associates that have sustained on-the-job injuries.

Responsibilities include:

• Conducting ongoing clinical case management and evaluation of the medical care for associates who have sustained on-the-job injuries. This is accomplished by the incumbent applying knowledge of medical conditions, medically necessary services, and accepted medical protocols to real-life situations involving injured associates
• Collaborating with medical provider and claims team to identify and coordinate appropriate diagnostic services and specialist provider referrals
• Collaborating with medical provider and claims team to identify and coordinate appropriate diagnostic services and specialist provider referrals
• Monitoring/or clarification of provider documentation
• Identifying the best vendor sources for medical supplies and other clinical services that provide the best outcome and value

---

Required Qualifications

• Associate’s Degree in Nursing (ADN) and active Florida RN license.
• Must be unencumbered to secure licensure in the states in which Publix operates
• Minimum of three years of clinical experience in hospital, clinic or institutional setting
• Basic Life Support. Current unrestricted Florida licensure.
• Required to successfully complete CCM Certified Case Management and pass the national certification exam within 2 years of employment
• Excellent verbal and written communication skills
• Excellent negotiation and problem-solving skills
• Ability to multitask with several projects and files with minimal direct supervision
• Basic knowledge of Microsoft Office

---

Additional Required Qualifications

---

Preferred Qualifications

• Bachelor of Science in Nursing (BSN)
• Some experience in case management, utilization review and/or Workers Comp
• CCM (Certified Case Manager) or COHN (Certified Occupational Health Nurse)
• Knowledge of application of medical protocols and guidelines
• Knowledge of the Workers Compensation process and requirements for Medical management in the multiple states in which Publix operates
• Advanced knowledge of Risk Master
• Intermediate knowledge of ODG Guidelines Special Program and Multiple clinical vendor information portals

---

Benefits

• Employee stock ownership plan that contributes Publix stock to associates each year at no cost
• An opportunity to purchase additional shares of our privately-held stock
• 401(k) retirement savings plan
• Group health, dental and vision plans
• Paid Time Off
• Paid Parental Leave
• Short- and long-term disability insurance
• Tuition reimbursement
• Free hot lunches (buffet-style) at facilities with a cafeteria
• Visit our website to see all of our benefits: Benefits – Jobs (publix.com)

---

Year End Bonus

As a year-end bonus to associates, Publix issues one month’s extra pay (pro-rated in the first year) each year if associate remains employed through issue date of the bonus check that year. This is calculated as a 13th month of pay in the Potential Annual Pay with Bonus line above.

---

Additional Information

Your application may have additional steps that you will need to complete in order to remain eligible for consideration. Please be sure to monitor your email, including your spam folder, on a daily basis for critical, time-sensitive emails that could require action within 24-48 hours.

Please do not use your Publix email address when applying. Once your application has been successfully submitted you will receive a confirmation email.

Please note that Publix will not sponsor any hire for this position for a visa or permanent residence.

---