Field Nurse Case Manager

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

📋 Description

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

• Accept referrals assigned by the Director of Case Management.

• Initiate contacts as per the CM plan; arrange for initial assessments; secure the date of the next physician appointment.

• Confirm the assignment with the referral source; clarify any special handling instructions.

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

• After physician appointments, reach out to the Carrier and Insured following protocol; ensure ongoing communication with the Injured Worker, Insured, and Carrier.

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

• Attend physician appointments; gather diagnosis, prognosis, treatment plan, rehabilitation duration, estimated Return to Work (modified/regular duty), and MMI/Full Recovery as necessary.

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

• Recommend Independent Medical Examination (IME) physicians; coordinate and participate in IMEs.

• Arrange transportation as required.

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

• Monitor the treatment plan; attend therapy sessions when suitable; maintain contact 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).

• Supply information to Defense Attorneys as necessary.

• Foster teamwork among all staff members.

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

• Maintain licensure and certifications; complete required annual training promptly.

• Undertake additional professional duties as assigned.

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

⛳️ Requirements

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

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

• Education: Completion of a nursing program along with ongoing continuing education as required.

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

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

🏝️ Benefits

• Competitive pay and bonus program

• Health, dental, vision, and retirement plans

• Flexible scheduling

• Nurse referral program

• Continuing education support