Field Nurse Case Manager

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

📋 Description

• Serve as a nurse liaison responsible for coordinating care and effectively communicating essential medical information among the Injured Worker, the Insured, and the Carrier to ensure appropriate treatment, successful rehabilitation, and a smooth 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 (CM) plan; maintain accountability for the CM process.

• Accept referrals as directed by the Director of Case Management.

• Initiate contacts as specified in the CM plan; schedule initial assessments; acquire the date of the next physician appointment.

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

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

• After physician appointments, reach out to the Carrier and Insured as per protocol; maintain continuous communication with the Injured Worker, Insured, and Carrier.

• Document data and billing in CaseAnyplace; ensure timely submission of monthly reports (Preliminary, Initial, Progress, Closing).

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

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

• Recommend Independent Medical Exam (IME) physicians; coordinate and participate in IMEs.

• Organize transportation as necessary.

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

• Monitor the treatment plan; attend therapy sessions when appropriate; maintain communication with therapists for updates.

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

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

• Provide information to Defense Attorneys as appropriate.

• Encourage teamwork among all staff members.

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

• Maintain licensure and certifications; complete required annual training punctually.

• Undertake additional professional responsibilities as assigned.

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

⛳️ Requirements

• Registered Nurse: Must possess a current, unrestricted state license; licensed in each state where field case management is carried out; capable of conducting independent assessments within the scope of practice.

• Discipline Eligibility: Must practice in a U.S. state or 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 obtained within 4 years of hire (e.g., CCM, CRC, CLNC, CRRN) is preferred.

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

🏝️ Benefits

• Flexible work arrangements

• Professional development opportunities