Field Nurse Case Manager

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

📋 Description

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

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

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

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

• Accept referrals assigned by the Director of Case Management.

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

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

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

• Maintain ongoing 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 plan, rehabilitation duration, estimated return to work, and MMI/Full Recovery information.

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

• Suggest physicians for Independent Medical Examinations and coordinate as well as attend IMEs.

• Arrange transportation as required.

• Monitor treatment plans and participate in therapy sessions when appropriate.

• Maintain contact with therapists for updates.

• Request file transfers to Vocational Counselors when appropriate.

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

• Provide information to Defense Attorneys when applicable.

• Encourage teamwork among all staff members.

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

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

• Perform additional professional duties as assigned.

⛳️ Requirements

• Active, unrestricted Registered Nurse state license.

• Licensed in each state where field case management services are provided.

• Capable of conducting independent assessments within scope.

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

• Completion of an accredited nursing program.

• Commitment to ongoing continuing education as required.

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

• At least two years of full-time experience in direct case management for injured workers or two years of supervised experience preferred.

• Maintain licensure and certifications.

• Complete required annual training in a timely manner.

• Ability to provide translation services as needed for bilingual nurses.

🏝️ Benefits

• Competitive salary and bonus program.

• Comprehensive health, dental, vision, and retirement plans.

• Flexible scheduling options.

• Nurse referral program.

• Support for continuing education.