Field Nurse Case Manager

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

📋 Description

• The nurse liaison is responsible for coordinating care and effectively communicating critical medical information among the Injured Worker, the Insured, and the Carrier to ensure appropriate treatment, successful rehabilitation, and a smooth return to work.

• Provides efficient and cost-effective communication regarding work-related 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, maintaining accountability for the CM process.

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

• Initiates contact according to the CM plan; schedules the initial assessment; and records the date of the next physician appointment.

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

• Develops professional relationships with clients while treating claimants with respect and dignity.

• Following physician appointments, communicates with the Carrier and Insured according to protocol and maintains ongoing communication with the Injured Worker, Insured, and Carrier.

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

• Attends physician appointments to gather diagnosis, prognosis, treatment plan, rehabilitation duration, estimated return to work (modified/regular duty), and maximum medical improvement/full recovery details as applicable.

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

• Recommends Independent Medical Examination (IME) physicians; coordinates and attends IMEs.

• Arranges transportation as required.

• Provides translation services as necessary (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 appropriate (LMS, Voc Rehab).

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

• Supplies information to Defense Attorneys when appropriate.

• Fosters teamwork among all staff members.

• Strives to maximize accurate and appropriate billable hours in alignment with the monthly target (8 hrs/day).

• Maintains licensure and certifications; completes required annual training promptly.

• Undertakes additional professional responsibilities as assigned.

• Retains accountability for tasks assigned 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: Practices in a U.S. state/territory that permits independent assessment within the scope of practice.

• Education: Must have completed a nursing program and participate in ongoing continuing education as mandated.

• Certification: Preferred to have one or more national certifications within four years of hiring (e.g., CCM, CRC, CLNC, CRRN).

• Experience: Preferably, two years of full-time equivalent direct case management experience for injured workers or two years under supervision.

🏝️ Benefits

• Competitive salary and bonus program

• Health, dental, vision, and retirement plans

• Flexible scheduling options

• Nurse referral program

• Support for continuing education