Field Nurse Case Manager

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

📋 Description

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

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

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

• Adhere to Case Management plan policies and maintain accountability for the Case Management process.

• Accept assigned referrals and initiate contact promptly.

• Schedule initial assessments and gather upcoming physician appointment details.

• Confirm assignments and clarify any special handling instructions.

• Develop 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 status, and MMI/Full Recovery information.

• Refer to a Vocational Counselor for job analyses when appropriate and with Carrier approval.

• Recommend and coordinate IME physicians and participate in IMEs.

• Arrange transportation as required.

• Provide translation services as needed for bilingual nurses.

• Monitor treatment plans and attend therapy sessions when suitable.

• Maintain contact with therapists for updates.

• Request file transfers to the Vocational Counselor when necessary.

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

• Provide information to Defense Attorneys as appropriate.

• Encourage teamwork among all staff members.

• Optimize accurate, billable hours towards the monthly target of 8 hours/day.

• Carry out additional professional duties as assigned.

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

⛳️ Requirements

• Current, unrestricted state Registered Nurse license.

• Licensed in each state where field case management is conducted.

• Capable of performing independent assessments within scope.

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

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

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

• Two years of full-time equivalent direct case management for injured workers or two years under supervision preferred.

• Maintain licensure/certifications and complete required annual training on schedule.

• Regular local travel of up to 2 hours within the region.

• Bilingual proficiency may be required for translation responsibilities.

🏝️ Benefits

• Competitive pay and bonus program.

• Health, dental, vision, and retirement plans.

• Flexible scheduling options.

• Nurse referral program.

• Support for continuing education.