Field Nurse Case Manager

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

📋 Description

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

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

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

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

• Accept referrals designated by the Director of Case Management.

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

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

• Foster professional relationships with clients and treat claimants with respect and dignity.

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

• Document data and billing within CaseAnyplace.

• Timely submit monthly Preliminary, Initial, Progress, and Closing reports.

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

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

• Suggest and coordinate IME physicians and participate in IMEs.

• Organize transportation when necessary.

• Provide translation services as required for bilingual nurses.

• Monitor treatment plans and attend therapy sessions when suitable.

• Maintain contact with therapists for regular updates.

• Request the transfer of files to Vocational Counselors when necessary.

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

• Provide information to Defense Attorneys as necessary.

• Encourage teamwork among staff members.

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

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

• Perform additional professional duties as assigned.

⛳️ Requirements

• Current, unrestricted Registered Nurse state license.

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

• Capable of conducting independent assessments within the defined scope.

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

• Completion of a nursing program, alongside ongoing continuing education as mandated.

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

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

• Maintain licensure and certifications.

• Complete required annual training punctually.

• Bilingual capability may be necessary for translation purposes.

🏝️ Benefits

• Competitive salary and bonus program.

• Health, dental, vision, and retirement plans.

• Flexible scheduling options.

• Nurse referral program.

• Support for continuing education.