Field Nurse Case Manager

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

📋 Description

• Coordinate the care and share relevant medical information between the Injured Worker, Insured, and Carrier.

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

• Provide efficient and cost-effective communication for workplace injuries, MVAs, liability claims, LTD/STD, and other referred services.

• Adhere to policies and procedures outlined in the Case Management plan and maintain accountability for the CM process.

• Accept referrals designated by the Director of Case Management.

• Conduct initial contacts, arrange initial assessments, and secure physician appointment dates.

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

• Develop professional relationships with clients while treating claimants with respect.

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

• Record data and billing within CaseAnyplace.

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

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

• Refer to a Vocational Counselor for job analyses when appropriate and with Carrier approval.

• Recommend, coordinate, and participate in IMEs.

• Arrange transportation as necessary.

• Monitor treatment plans and attend therapy sessions when suitable.

• Stay in contact with therapists for updates.

• Request the transfer of files to the Vocational Counselor when appropriate.

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

• Provide necessary information to Defense Attorneys as appropriate.

• Foster teamwork among staff members.

• Optimize accurate and appropriate billable hours to achieve a monthly target of 8 hours per day.

• Maintain licensure and certifications while completing 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 every state where field case management is conducted.

• Capable of performing independent assessments within their scope.

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

• Completion of a nursing program along with ongoing CE as required.

• Must obtain and maintain at least one nationally recognized certification (e.g., CCM, CRC, CLNC, CRRN, etc.) within three years of hire or within the timeframe required by the state for practice, whichever is shorter.

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

• Ability to provide translation when necessary for bilingual nurses.

🏝️ Benefits

• Competitive salary and bonus program.

• Health, dental, vision, and retirement plans.

• Flexible scheduling options.

• Nurse referral program.

• Support for continuing education.