• Conduct initial triage and telephonic case management at the outset of Workers’ Compensation claims. • Perform clinical assessments of injured workers to determine appropriate medical care and treatment pathways. • Complete initial assessment and required three-point contact in accordance with State of Florida procedures and emergency protocols. • Develop an initial case management care plan based on clinical findings and information obtained from the injured worker, employer, and medical provider. • Identify potential causation concerns or barriers to recovery and document findings appropriately. • Facilitate communication between injured workers, employers, claims professionals, healthcare providers, and rehabilitation specialists. • Monitor treatment plans to ensure adherence to state-mandated treatment guidelines and evidence-based medical protocols. • Address initial return-to-work capabilities with injured workers and providers, documenting updates in the case management system. • Maintain accurate and timely documentation of all contacts, interviews, and medical information in the claims management system. • Identify opportunities for cost-effective medical management and appropriate utilization of services. • Educate injured workers and their families about recovery expectations and care plans. • Maintain strict patient confidentiality and compliance with state and federal healthcare regulations. • Serve as a patient advocate, ensuring quality care and adherence to ethical and regulatory standards. • Participate in quality assurance initiatives, committees, and department activities as required. • Assist with training claims staff on identifying medical case management opportunities, as needed.