Field Nurse Case Manager

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

📋 Description

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

• Facilitate appropriate treatment, successful rehabilitation, and a return to work.

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

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

• Accept assigned referrals and confirm assignments with the referral sources.

• Initiate contacts, schedule initial assessments, and secure physician appointment dates.

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

• Maintain ongoing communication with Injured Workers, Insureds, Carriers, physicians, therapists, and other stakeholders.

• 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 Vocational Counselors for job analyses when appropriate and approved.

• Recommend and coordinate Independent Medical Examinations (IMEs).

• Organize transportation as needed.

• Provide translation services for bilingual nurses when necessary.

• Monitor treatment plans and attend therapy sessions when appropriate.

• Request the transfer of files to Vocational Counselors when appropriate.

• Assist Carriers/Insureds with modified or regular-duty return-to-work planning.

• Provide information to Defense Attorneys as applicable.

• Foster teamwork among all staff members.

• Maximize accurate, appropriate billable hours toward a target of 8 hours per day.

• Maintain licensure and certifications and complete required annual training.

• Perform additional professional duties as assigned.

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

⛳️ Requirements

• Current, unrestricted Registered Nurse state 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 allows independent assessment within the scope of practice.

• Completion of a nursing program and ongoing CE as required.

• Must obtain 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 FTE direct case management experience for injured workers or two years under supervision is preferred.

• Bilingual abilities may be necessary for translation responsibilities.

🏝️ Benefits

• Competitive salary and bonus program.

• Health, dental, vision, and retirement plans.

• Flexible scheduling options.

• Nurse referral program.

• Support for continuing education.