Field Nurse Case Manager

This is a fully remote position, open to applicants in Florida.

📋 Description

• Coordinate care and communicate essential medical information among the Injured Worker, Insured, and Carrier.

• Facilitate suitable treatment, successful rehabilitation, and return to work.

• Provide effective, cost-efficient communication regarding work injuries, motor vehicle accidents, liability claims, LTD/STD, and other referred services.

• Adhere to the Case Management plan and remain accountable for the case management process.

• Accept assigned referrals and initiate initial contacts.

• Schedule initial assessments and obtain dates for upcoming physician appointments.

• Confirm assignments with referral sources and clarify any special handling instructions.

• Develop professional relationships with clients and treat claimants with respect.

• Maintain continuous communication with the Injured Worker, Insured, and Carrier.

• Record data and billing using CaseAnyplace.

• Submit timely monthly Preliminary, Initial, Progress, and Closing reports.

• Attend physician appointments to gather diagnosis, prognosis, treatment plans, rehabilitation duration, estimated return-to-work status, and MMI/Full Recovery information.

• Refer to Vocational Counselors for job analyses when appropriate and approved by the Carrier.

• Recommend and coordinate IME physicians and attend IMEs.

• Arrange transportation as required.

• Provide translation services as needed for bilingual nurses.

• Monitor treatment plans and attend therapy sessions when appropriate.

• Maintain contact with therapists for updates.

• Request the transfer of files to Vocational Counselors when necessary.

• Assist the Carrier/Insured with planning for modified or regular-duty return-to-work.

• Provide relevant information to Defense Attorneys as appropriate.

• Foster teamwork among all staff members.

• Maximize accurate and appropriate billable hours towards the monthly target of 8 hours per day.

• Maintain licensure and certifications and complete required annual training punctually.

• Undertake additional professional duties as assigned.

• Retain responsibility for tasks delegated to non-clinical staff.

⛳️ Requirements

• Current, unrestricted Registered Nurse state license.

• Licensed in each state where field case management is conducted.

• Capable of performing independent assessments within the scope of practice.

• Practices in a U.S. state/territory that permits independent assessment within the scope of practice.

• Completion of a nursing program and ongoing continuing education as mandated.

• Must obtain and maintain at least one nationally recognized certification, such as CCM, CRC, CLNC, or CRRN, within three years of hire or within the state-required timeframe for practice, whichever is shorter.

• Preferably two years of FTE direct case management experience for injured workers or two years under supervision.

• Bilingual ability may be necessary for translation purposes.

🏝️ Benefits

• Competitive pay and bonus program.

• Health, dental, vision, and retirement plans.

• Flexible scheduling options.

• Nurse referral program.

• Support for continuing education.