Nurse, Care Management Remote type Remote locations Miami, FL time type Full time Job Summary The Nurse, Care Management is a compassionate and skilled clinician responsible for coordinating and managing comprehensive care plans tailored to individual patient needs. This role collaborates closely with physicians, interdisciplinary teams, and community resources to ensure seamless, high-quality care delivery across the continuum. The nurse focuses on improving patient outcomes, reducing care fragmentation, and enhancing overall quality of life. In this role, the nurse will assess physical and psychosocial health, identify gaps in care, and advocate for necessary services. Responsibilities include educating patients and families, facilitating transitions of care, and monitoring progress to adjust plans as needed. Success in this role requires strong clinical judgment, excellent communication skills, and a commitment to patient-centered care Essential Duties & Responsibilities - Conduct patient outreach to complete assessments, coordinate care, and provide resources. - Create, implement, and update individualized care plans for patients enrolled in care management programs. - Educate patients and families on disease processes, preventive screenings, and health maintenance. - Maintain accurate and timely documentation of patient encounters, progress, and case notes. - Facilitate interdisciplinary care team meetings and communicate patient progress, barriers, and care needs to providers, families, and team members. Education & Experience - Bachelor’s degree preferred; four years of related clinical experience required - 2-3 years of nursing experience, with at least 1–2 years in care management, case management, utilization management, or care coordination. - LPN required, RN preferred Education Requirements Education Level Discipline Required Bachelor's Degree Knowledge, Skills & Proficiencies - Proficiency in Microsoft Office and EMR systems; familiarity with Salesforce preferred - Excellent written and verbal communication skills - Strong organizational and time management abilities - Effective motivational interviewing and telephonic nursing skills - Ability to work independently while collaborating within an interdisciplinary team - Bilingual (English/Spanish) preferred Travel Requirements Amount of Expected Travel Details Yes 0-25% May require travel to off-site clinics, hospitals, or other healthcare settings.

• Lead the development and implementation of the operational risk management framework, including policies, procedures, and controls • Identify and assess operational risks across the organization, using a range of risk assessment techniques and tools • Collaborate with business units and departments to develop and implement risk management processes • Monitor the effectiveness of operational risk controls and identify opportunities for improvement • Provide leadership and guidance to a team of operational risk professionals, including setting performance objectives, providing coaching and mentorship, and conducting performance evaluations • Collaborate with other risk management functions, such as credit, market, and liquidity risk, to ensure a holistic approach to risk management • Ensure compliance with regulatory requirements and industry best practices in operational risk management • Participate in the development and implementation of the bank's overall risk appetite and risk management strategy • Prepare and present reports and presentations on operational risk management to senior management and the board of directors

Role Description We are seeking a talented individual to join our Risk and Safety team at Marsh. This is a remote role that requires the successful incumbent to service a portfolio of clients across the Northern Eyre Peninsula (Streaky Bay, Kimba, Ceduna, Elliston, Wudinna and Port Augusta). As a Risk and Safety Advisor, you will be part of a dedicated team of Work Health and Safety (WHS) and Risk Management Professionals, striving to make a positive impact on local government organisations we service. You will work closely with Local Government organisations within your region, providing high-quality service and advice to help them meet the Self-insured Work Health and Safety Standards and effectively manage Civil Liability risks. This role offers the opportunity to make a real difference in the risk, safety, and wellbeing of communities and the organisations supporting them. We will count on you to: - Work collaboratively and effectively as a part of the WHS & Risk Team, partnering with Local Government organisations to ensure key deliverables are achieved. - Provide advice, and risk management assistance, both oral and written, to Local Government organisations regarding civil liability issues. - Assist in the development of systems for the management of specific risk management issues in Local Government organisations. - Establish, develop, and maintain effective communication with internal staff, Local Government organisations, other government bodies, and private enterprises relevant to Local Government. - Raise the profile of risk management as a culture within Local Government. Qualifications - Sound knowledge of South Australian Work Health & Safety legislation, principles, and practices. - Risk Management expertise and experience. - Knowledge of ISO 31000. - Familiarity with the Self-insured Work Health and Safety Standards. - Knowledge of SA Return to Work Act 2014. - Relevant auditing qualification or experience. - Computer literacy – competent in MS Office applications. - A current SA driver’s license and willingness to travel to regions within your portfolio. Requirements - Knowledge of the Local Government Act 1999 and other relevant Acts. - Understanding of law as it relates to civil liabilities, contracting, and common law. - Knowledge of risks within Local Government and the range of occupations/tasks/jobs within Local Government. Benefits - We help you be your best through professional development opportunities, interesting work, and supportive leaders. - We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients, and communities. - Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.

• Proactively oversee and manage TPA performance through reporting, auditing, and claim reviews. • Oversee the daily work product of multiple lost time and medical-only workers’ compensation adjusters in your assigned territory, completing monthly audits and case reviews. • Actively participate in internal claim reviews and legal roundtables. • Ensure that reserves and settlement authorities are reviewed and granted in compliance with our internal processes. • Review and interpret medical reports, expert reports, legal and various supporting claim documents. • Analyze case and internal investigative materials to determine legal liability and that reserves are set for the known exposure.