RN Case Manager - Multi-State

Job Summary

To coordinate care for injured or disabled individuals, the full-time RN Case Manager - Multi-State will manage a caseload of high-risk, high-cost, and complex cases remotely, utilizing professional nursing judgment and case management principles to facilitate treatment and promote quality outcomes.

Key responsibilities

• Manage a mix caseload of 30-40 field and telephonic case management files, establishing collaborative relationships among all stakeholders
• Assess and evaluate individualized care plans, ensuring quality and cost-effective care to support optimal function and return-to-work goals
• Track and document case management activities, maintaining accurate clinical documentation and adhering to relevant quality standards and guidelines

Required qualifications

• Current, active, unrestricted RN license in primary residence state, preferably in a compact state
• 3-5 years of case management experience, including 1-2 years specifically in workers' compensation nursing case management
• Strong computer skills, particularly in Microsoft Suite (Outlook, Excel, Word)
• Professional Nursing degree (ASN, BSN) required
• Experience with medical bill review in Workers' Compensation, Auto, or Health Insurance preferred