Nurse Case Manager

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

📋 Description

• Analyze medical records, treatment plans, and diagnostic data to evaluate functional capacity and the duration of disability.

• Engage with claim professionals and healthcare providers to assess medical conditions and the suitability of treatments.

• Partner with claimants, doctors, employers, and vocational specialists to facilitate recovery and develop return-to-work strategies.

• Detect medical issues, discrepancies, or limitations that could influence claim eligibility or outcomes.

• Offer medical education, consultations, and disability prevention assistance to internal teams and employer groups.

• Assist in disability claim decisions and support claimants in achieving safe and prompt return-to-work results.

⛳️ Requirements

• Bachelor's degree in Nursing, Health Sciences, or a related discipline.

• A minimum of 4 years' experience in clinical nursing, hospital settings, utilization review, quality management, case management, or related healthcare fields.

• Active Registered Nurse (RN) license.

• Proven experience in reviewing medical records and evaluating functional capacity, treatment plans, and disability-related medical issues.

• Understanding of disability management, return-to-work strategies, and medical case management.

• Strong ability to collaborate effectively with physicians, claim professionals, employers, and other stakeholders.

• Willingness to obtain a Certified Case Manager (CCM) or Certified Professional Disability Management (CPDM) certification within two years of employment.

• Successful completion of a criminal background check, along with verification of employment, education, and licenses.

• Must be bondable.

🏝️ Benefits

• A comprehensive benefits package that includes medical, dental, vision, and a 401(k) plan with company matching contributions.

• Participation in an annual incentive bonus program.

• Generous paid time off, which includes 11 holidays, 2 wellness days, and 8 volunteer hours each year — PTO increases with tenure.

• Opportunities for professional growth and advancement.

• Paid parental leave.

• Assistance for adoption or surrogacy.

• An employee giving program that matches donations to eligible nonprofits and schools at double the rate.

• Support for achieving work-life balance.