Texas Licensed Medical Case Manager

Job Summary

Providing comprehensive telephonic case management, the full-time Texas Licensed Medical Case Manager will engage with injured employees, healthcare providers, and employers to facilitate medically appropriate return-to-work strategies while working remotely.

Key responsibilities

• Utilizes clinical skills to assess and coordinate treatment plans, ensuring care is medically necessary and cost-effective
• Performs Utilization Review activities and communicates effectively with all stakeholders to manage medical care and return-to-work processes
• Maintains accurate documentation of case management activities and collaborates with adjusters to develop medical resolution strategies

Required qualifications

• Active unrestricted RN license in a state or territory of the United States
• Bachelor's degree in nursing (BSN) or equivalent work experience preferred
• 3+ years of related experience, including 2+ years in direct clinical care or case management
• Certification in case management or a related specialty is highly preferred
• Fluency in Spanish and English is preferred