California Licensed Medical Case Manager

Job Summary

Providing comprehensive telephonic case management, the full-time California Licensed Medical Case Manager will utilize clinical skills to ensure medically appropriate care and facilitate return-to-work strategies for injured employees in a remote setting.

Key responsibilities

• Conduct utilization review activities and ensure accurate documentation of case management activities
• Coordinate treatment programs and communicate effectively with adjusters, clients, and providers to optimize care
• Evaluate and update treatment and return-to-work plans throughout the claim lifecycle

Required qualifications

• Active unrestricted RN license in California; Arizona license preferred
• Bachelor's degree in nursing (BSN) or equivalent work experience preferred
• Five years of related experience, including two years of direct clinical care or case management
• Certification in case management or a related specialty is highly preferred
• Fluency in Spanish and English is preferred