Field Nurse Case Manager
RemoteUnited States only
- Experience
- Mid
- Employment
- Full-time
Salary not disclosed
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Open to US only. Set where you work from to check your eligibility.
No BS summary
Registered Nurse case manager for injured-worker/claims work in the Baltimore region. Must hold a current unrestricted state RN license and be able to travel locally up to 2 hours for field appointments.
Job Summary
Nurse liaison who coordinates care and communicates pertinent medical information among the Injured Worker, the Insured, and the Carrier to facilitate appropriate treatment, successful rehabilitation, and return to work. Delivers efficient, cost-effective communication for work injuries, MVAs, liability claims, LTD/STD, and other referred services. This is a remote, field-based role that involves regular local travel of up to 2 hours in your region.
Duties & Responsibilities
- Follow all policies/procedures in the Case Management (CM) plan; retain accountability for the CM process.
- Accept referrals as assigned by the Director of Case Management.
- Make initial contacts per CM plan; schedule initial assessment; obtain date of next physician appointment.
- Confirm assignment with referral source; clarify special handling instructions.
- Build professional relationships with clients; treat claimants with dignity.
- After physician appointments, contact Carrier and Insured per protocol; maintain ongoing communication with Injured Worker, Insured, and Carrier.
- Record data and billing in CaseAnyplace; submit timely monthly reports (Preliminary, Initial, Progress, Closing).
- Attend physician appointments; obtain diagnosis, prognosis, treatment plan, rehab length, estimated RTW (modified/regular duty), and MMI/Full Recovery as appropriate.
- Refer to Vocational Counselor for job analyses (modified/regular duty) when appropriate and approved by Carrier.
- Recommend IME physicians; coordinate and attend IMEs.
- Coordinate transportation as needed.
- Provide translation as needed (for bilingual nurses).
- Monitor treatment plan; attend therapy sessions when appropriate; maintain contact with therapists for updates.
- Request transfer of files to Vocational Counselor when appropriate (LMS, Voc Rehab).
- Assist Carrier/Insured with RTW planning (modified or regular duty).
- Provide information to Defense Attorneys as appropriate.
- Promote teamwork with all staff members.
- Maximize accurate, appropriate billable hours per monthly target (8 hrs/day).
- Maintain licensure/certifications; complete required annual training on time.
- Perform additional professional duties as assigned.
- Retain responsibility for tasks delegated to non-clinical staff.
Qualifications
- Registered Nurse: Current, unrestricted state license; licensed in each state where field case management is provided; able to perform independent assessments within scope.
- Discipline Eligibility: Practices in a U.S. state/territory allowing independent assessment within scope of practice.
- Education: Completion of a nursing program and ongoing CE as required.
- Certification: One or more national certifications within 4 years of hire (e.g., CCM, CRC, CLNC, CRRN) preferred.
- Experience: Two years FTE direct case management for injured workers or two years under supervision preferred.
Benefits
- Competitive pay and bonus program
- Health, dental, vision, and retirement plans
- Flexible scheduling
- Nurse referral program
- Continuing education support
What you'll do
- Follow all policies and procedures in the Case Management plan and retain accountability for the case management process.
- Accept referrals as assigned by the Director of Case Management.
- Make initial contacts per the Case Management plan, schedule initial assessment, and obtain the date of the next physician appointment.
- Confirm assignment with referral source and clarify special handling instructions.
- Build professional relationships with clients and treat claimants with dignity.
- After physician appointments, contact Carrier and Insured per protocol and maintain ongoing communication with Injured Worker, Insured, and Carrier.
- Record data and billing in CaseAnyplace and submit timely monthly reports including Preliminary, Initial, Progress, and Closing reports.
- Attend physician appointments and obtain diagnosis, prognosis, treatment plan, rehabilitation length, estimated return to work, and MMI/Full Recovery as appropriate.
- Refer to Vocational Counselor for job analyses when appropriate and approved by Carrier.
- Recommend IME physicians and coordinate and attend IMEs.
- Coordinate transportation as needed.
- Provide translation as needed for bilingual nurses.
- Monitor treatment plan, attend therapy sessions when appropriate, and maintain contact with therapists for updates.
- Request transfer of files to Vocational Counselor when appropriate for LMS or vocational rehabilitation.
- Assist Carrier and Insured with return-to-work planning for modified or regular duty.
- Provide information to Defense Attorneys as appropriate.
- Promote teamwork with all staff members.
- Maximize accurate, appropriate billable hours per monthly target of 8 hours per day.
- Maintain licensure and certifications and complete required annual training on time.
- Perform additional professional duties as assigned.
- Retain responsibility for tasks delegated to non-clinical staff.
What they require
- Registered Nurse with a current, unrestricted state license.
- Licensed in each state where field case management is provided.
- Able to perform independent assessments within scope.
- Practice in a U.S. state or territory allowing independent assessment within scope of practice.
- Completion of a nursing program and ongoing continuing education as required.
- Preferred: One or more national certifications within 4 years of hire, such as CCM, CRC, CLNC, or CRRN.
- Preferred: Two years FTE direct case management for injured workers or two years under supervision.
- Remote, field-based role involving regular local travel of up to 2 hours in the candidate's region.
Benefits
- Competitive pay and bonus program
- Health, dental, vision, and retirement plans
- Flexible scheduling
- Nurse referral program
- Continuing education support
Healthcare
Details
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Salary not disclosed