Field Nurse Case Manager

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

📋 Description

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

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

• Provide efficient and cost-effective communication for work-related injuries, motor vehicle accidents (MVAs), liability claims, long-term disability (LTD)/short-term disability (STD), and other referred services.

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

• Accept referrals assigned by the Director of Case Management.

• Initiate contacts, schedule initial assessments, and obtain dates for subsequent physician appointments.

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

• Establish 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 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 approved by the Carrier.

• Recommend and coordinate Independent Medical Examination (IME) physicians and attend IMEs.

• Arrange transportation as necessary.

• Monitor treatment plans and attend therapy sessions when appropriate.

• Keep in touch with therapists for regular updates.

• Request file transfers to the Vocational Counselor when suitable.

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

• Provide information to Defense Attorneys as needed.

• Foster teamwork with staff members.

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

• Maintain licensure and certifications and complete necessary annual training on schedule.

• Retain responsibility for tasks delegated 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 is conducted.

• Capable of performing independent assessments within the scope of practice.

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

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

• Must acquire and maintain at least one nationally recognized certification (e.g., CCM, CRC, CLNC, CRRN, etc.) within three years of hire or within the state-required timeframe for practice, whichever is shorter.

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

• Ability to provide translation services as needed for bilingual nurses.

🏝️ Benefits

• Competitive salary and bonus program.

• Health, dental, vision, and retirement plans.

• Flexible scheduling options.

• Nurse referral program.

• Support for continuing education.