Field Nurse Case Manager - Join Our Talent Pool

Duties & Responsibilities

• Follow all policies/procedures in the Case Management (CM) plan; retain accountability for the CM process.
• Accept referrals as assigned by the Director of Case Management.
• Make initial contacts per CM plan; schedule initial assessment; obtain date of next physician appointment.
• Confirm assignment with referral source; clarify special handling instructions.
• Build professional relationships with clients; treat claimants with dignity.
• After physician appointments, contact Carrier and Insured per protocol; maintain ongoing communication with Injured Worker, Insured, and Carrier.
• Record data and billing in CaseAnyplace; submit timely monthly reports (Preliminary, Initial, Progress, Closing).
• Attend physician appointments; obtain diagnosis, prognosis, treatment plan, rehab length, estimated RTW (modified/regular duty), and MMI/Full Recovery as appropriate.
• Refer to Vocational Counselor for job analyses (modified/regular duty) when appropriate and approved by Carrier.
• Recommend IME physicians; coordinate and attend IMEs.
• Care for transportation needs as needed.
• Provide translation as needed (for bilingual nurses).
• Maintain licensure/certifications; complete required annual training on time.
• Perform additional professional duties as assigned.
• Reward clinical staff for accurate, appropriate billable hours per monthly target (8 hrs/day).

Qualifications

• Registered Nurse: Current, unrestricted state license; licensed in each state where field case management is provided; able to perform independent assessments within scope.
• Discipline Eligibility: Practices in a U.S. state/territory allowing independent assessment within scope of practice.
• Education: Completion of a nursing program and ongoing CE as required.
• Certification: One or more national certifications within 4 years of hire (e.g., CCM, CRC, CLNC, CRRN) preferred.
• Experience: Two years FTE direct case management for injured workers or two years under supervision preferred.