Telephonic Nurse Case Manager

Job Summary

As a full-time, remote Telephonic Nurse Case Manager, the successful candidate will manage the delivery of high-quality medical treatment and health services under Workers' Compensation law, ensuring timely recovery and effective communication among all parties involved.

Key Responsibilities

• Providing telephonic case management focused on medical appropriateness and cost savings for injured workers
• Facilitating communication among employees, employers, insurers, and healthcare providers to achieve recovery goals
• Clinically evaluating recovery needs and tracking treatment plans while documenting outcomes

Required Qualifications

• Registered Nurse (RN) with 3-5 years of clinical experience in relevant fields
• Certification in CCRN, CCM, CDMS, COHN, or COHN S if managing a Workers' Compensation claim
• At least 1 year of experience in Workers' Compensation case management
• Current State Licensure and eligibility for endorsement in other states
• Experience in field case management or utilization review is highly preferred