Field Nurse Case Manager

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

📋 Description

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

• Facilitate appropriate treatment, successful rehabilitation, and the return to work process

• Provide efficient, cost-effective communication for work 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 assigned by the Director of Case Management

• Initiate contacts, arrange initial assessments, and secure the date of the upcoming physician appointment

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

• Establish professional relationships with clients and treat claimants with respect

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

• Document data and billing in 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, and MMI/Full Recovery details

• Refer to Vocational Counselor for job analyses when deemed appropriate and approved by the Carrier

• Suggest and coordinate IME physicians and attend IMEs

• Arrange transportation as necessary

• Monitor treatment plans and participate in therapy sessions when appropriate

• Maintain contact with therapists for updates

• Request file transfers to the Vocational Counselor when suitable

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

• Provide information to Defense Attorneys as necessary

• Foster teamwork among staff members

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

• Maintain licensure and certifications while completing required annual training on schedule

• Undertake additional professional duties as assigned

• Retain accountability for tasks delegated to non-clinical staff

⛳️ Requirements

• Current, unrestricted Registered Nurse state license

• Licensed in all states where field case management services are provided

• Capable of performing independent assessments within scope

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

• Completion of a nursing program and ongoing continuing education as required

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

• Two years of FTE direct case management experience for injured workers or two years under supervision is preferred

• Regular local travel of up to two hours within the assigned region

• Ability to provide translation services as needed 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