Field Nurse Case Manager

📋 Description

• The Nurse Liaison coordinates care and communicates essential medical information between the Injured Worker, Insured, and Carrier to ensure appropriate treatment, effective rehabilitation, and a smooth return to work.

• Provides 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.

• Adheres to all policies and procedures outlined in the Case Management (CM) plan and remains accountable for the CM process.

• Accepts referrals as designated by the Director of Case Management.

• Makes initial contacts according to the CM plan; schedules the initial assessment, and obtains the date of the next physician appointment.

• Confirms assignments with the referral source and clarifies any special handling instructions.

• Develops professional relationships with clients and treats claimants with respect and dignity.

• Contacts the Carrier and Insured as per protocol after physician appointments, while maintaining ongoing communication with the Injured Worker, Insured, and Carrier.

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

• Attends physician appointments to gather diagnosis, prognosis, treatment plans, rehabilitation duration, estimated return to work (modified/regular duty), and MMI/Full Recovery as appropriate.

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

• Recommends Independent Medical Examination (IME) physicians and coordinates attendance at IMEs.

• Coordinates transportation as necessary.

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

• Monitors the treatment plan; attends therapy sessions when appropriate and maintains contact with therapists for updates.

• Requests the transfer of files to the Vocational Counselor when suitable (LMS, Voc Rehab).

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

• Provides information to Defense Attorneys as appropriate.

• Encourages teamwork among all staff members.

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

• Maintains licensure and certifications; completes required annual training in a timely manner.

• Performs additional professional duties as assigned.

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

⛳️ Requirements

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

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

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

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

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

🏝️ Benefits

• Competitive salary and bonus program.

• Health, dental, vision, and retirement plans.

• Flexible scheduling options.

• Nurse referral program.

• Support for continuing education.