Field Nurse Case Manager

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

📋 Description

• Serve as a nurse liaison who organizes care and conveys essential medical information between the Injured Worker, the Insured, and the Carrier to promote suitable treatment, effective rehabilitation, and a return to work.

• Provide effective and cost-efficient communication concerning workplace injuries, motor vehicle accidents (MVAs), liability claims, long-term disability (LTD)/short-term disability (STD), and other referred services.

• This position is remote and field-based, requiring regular local travel of up to 2 hours within your area.

• Adhere to all policies and procedures outlined in the Case Management (CM) plan, while being accountable for the CM process.

• Accept referrals as designated by the Director of Case Management.

• Initiate contact according to the CM plan; arrange initial assessments; secure the date for the next physician appointment.

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

• Establish professional relationships with clients; treat claimants with respect and dignity.

• After physician appointments, communicate with the Carrier and Insured according to protocol; maintain consistent communication with the Injured Worker, Insured, and Carrier.

• Document data and billing in CaseAnyplace; timely submit monthly reports (Preliminary, Initial, Progress, Closing).

• Attend physician appointments to gather diagnosis, prognosis, treatment plans, rehabilitation duration, estimated return to work (modified/regular duty), and MMI/Full Recovery as appropriate.

• Refer to a Vocational Counselor for job analyses (modified/regular duty) when suitable and approved by the Carrier.

• Recommend independent medical exam (IME) physicians; coordinate and participate in IMEs.

• Arrange transportation as necessary.

• Provide translation services as needed (for bilingual nurses).

• Oversee the treatment plan; attend therapy sessions as appropriate; keep in touch with therapists for updates.

• Request file transfers to the Vocational Counselor when appropriate (LMS, Voc Rehab).

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

• Provide relevant information to Defense Attorneys as required.

• Foster teamwork among all staff members.

• Optimize accurate and appropriate billable hours according to the monthly target (8 hrs/day).

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

• Carry out additional professional responsibilities as assigned.

• Retain accountability for tasks assigned to non-clinical staff.

⛳️ Requirements

• Registered Nurse: Must possess a current, unrestricted state license; licensed in every state where field case management is conducted; capable of performing independent assessments within scope.

• Discipline Eligibility: Must practice in a U.S. state or territory that permits independent assessment within the scope of practice.

• Education: Must have completed a nursing program and ongoing continuing education as mandated.

• Certification: One or more national certifications obtained within 4 years of hire (e.g., CCM, CRC, CLNC, CRRN) is preferred.

• Experience: A minimum of two years of full-time equivalent direct case management for injured workers or two years under supervision is preferred.

🏝️ Benefits

• Competitive salary and bonus program

• Comprehensive health, dental, vision, and retirement plans

• Flexible work scheduling

• Nurse referral program

• Support for continuing education