Nurse Case Manager

Job Summary

A company is looking for a Nurse Case Manager (WC and PIP).

Key Responsibilities

• Negotiate fees and coordinate referrals with rehabilitation and medical case management vendors
• Gather, analyze, and report service data significant to clients and assess healthcare needs related to claims
• Educate claimants and healthcare providers on treatment responses and monitor progress towards recovery

Required Qualifications, Training, and Education

• Active nursing license
• Experience in case management, particularly in workers' compensation or personal injury protection
• Knowledge of medical terminology and healthcare systems
• Ability to collaborate effectively with various stakeholders
• Familiarity with utilization review processes and independent medical exams