Field Nurse Case Manager
Opus Medical
full-time
Posted on:
Location Type: Remote
Location: Florida • Pennsylvania • United States
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About the role
- Nurse liaison who coordinates care and communicates pertinent medical information among the Injured Worker, the Insured, and the Carrier to facilitate appropriate treatment.
- Deliver efficient, cost-effective communication for work injuries, MVAs, liability claims, LTD/STD, and other referred services.
- 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).
Requirements
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
case managementindependent assessmentsdata recordingbillingtreatment planningrehabilitation coordinationjob analysisIME coordinationtranslation
Soft Skills
communicationrelationship buildingteamworkaccountabilitydignity in treatment
Certifications
Registered NurseCCMCRCCLNCCRRN