Nurse Case Manager
Berkshire Hathaway GUARD Insurance Companies
full-time
Posted on:
Location Type: Hybrid
Location: Wilkes Barre • Pennsylvania • United States
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About the role
- Coordinate care and guide injured workers through the treatment process
- Communicate regularly with medical providers and document clinical updates
- Facilitate timely and appropriate return‑to‑work plans
- Assign field case managers and manage hospital discharge planning
- Monitor treatment progress and intervene when cases need additional support
- Serve as a medical resource to claims adjusters
- Review and process pharmacy prior authorization requests in ScriptAdvisor
Requirements
- Active RN license
- 2+ years of clinical experience (case management, rehab, ortho, or utilization review preferred)
- Strong communication and interpersonal skills
- Ability to prioritize, work independently, and manage a fast‑paced caseload
- Excellent time‑management, organizational, and analytical skills
- Proficiency in Microsoft Word and Outlook
Benefits
- Competitive compensation
- Healthcare benefits package that begins on first day of employment
- 401K retirement plan with company match
- Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays
- Up to 6 weeks of parental and bonding leave
- Hybrid work schedule (3 days in the office, 2 days from home)
- Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation)
- Tuition reimbursement after 6 months of employment
- Numerous opportunities for continued training and career advancement
- And much more!
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
clinical experiencecase managementrehabilitationorthopedicsutilization reviewpharmacy prior authorizationtreatment planning
Soft Skills
communication skillsinterpersonal skillstime managementorganizational skillsanalytical skillsability to prioritizeindependent workfast-paced caseload management
Certifications
Active RN license