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NJM Insurance

RN Case Manager

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What they do

A Nurse Case Manager applies nursing expertise to coordinate a patient's medical care and provides advocacy to help them get the best and most affordable care. Develop care plans including discharge planning, coordinate delivery among providers, and teach patients and families how to follow the plan. They may also help patients navigate insurance and other healthcare bureaucracies and access related social services. May work with patients who have chronic illnesses or other complex medical needs. Works at a hospital or other healthcare facility; may follow patients throughout the span of their treatment.

$84,150 / year median in New Jersey

+1% projected growth

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Job Description

Careers Sign In Home Search for Jobs Join Our Talent Community RN Case Manager
  • Workers' Compensation page is loaded RN Case Manager
  • Workers' Compensation Apply locations NJM
  • Parsippany time type Full time posted on Posted 3 Days Ago job requisition id
R2008216 A
Workers' Compensation Nurse Case Manager coordinates and manages the medical care of injured employees throughout the workers' compensation claim process. Responsibilities include evaluating medical needs, assessing treatment progress, identifying barriers to recovery, educating stakeholders, and ensuring care is delivered in accordance with workers' compensation regulations and best practices. The official NJM job title is Medical Management Coordinator II/Telephonic Nurse Case Manager. The position requires the nurse to work and communicate with other members of the Medical Management team in addition to the Workers' Compensation (WC) Claims team, WC Claims Supervisors, and other team members.
Essential Duties and Responsibilities:
Demonstrate knowledge, skills, and competency in the application of case management standards of practice. Develop and provide ongoing support of the rehabilitation plan through comprehensive assessment, planning, implementation, and overall evaluation of individual claimant needs. Facilitate the Injured Worker's rehabilitation by coordinating medical treatment, advocate for the Injured Worker with all medical providers and stakeholders and educate the Injured Worker on their recovery process. Understand, apply, and comply with all statutory, regulatory, licensing requirements, and NJM policies/guidelines that affect utilization review, case management, and medical management. Attend on-site visits with Injured Worker, physicians and other treatment providers, when necessary. Evaluate the appropriateness, medical need and efficiency of health care procedures and facilities according to established criteria or guidelines. Effectively communicate and collaborate with management, peers, and colleagues to ensure alignment, compliance and effective management of assigned claims. Participate and/or support identified project initiatives Proactively seek development opportunities and identify business process improvements to maximize effectiveness of operations and minimize cost.
Required Qualifications:
RN required 5 years of clinical nursing experience required WC/PIP experience preferred Ability to travel within State of NJ/assigned territory dependent on business needs. Bachelor of Science in Nursing (BSN) is preferred. Certified Case Manager (CCM) beneficial. Strong internal and external relationship management skills Detail oriented with exceptional time management and organizational skills. Ability to work independently and in a team environment Proactive Willingness to learn and grow within the position Demonstrate reliability and conform to the company's attendance policy Intermediate Microsoft Office Suite skills (Outlook, Word, Excel, PowerPoint) with ability to navigate technology and multiple systems effortlessly.
High School Diploma or GED Equivalent Compensation:
Salary is commensurate with experience and credentials.
Pay Range:
$84,610
  • 98,261 Eligible full-time employees receive a competitive Total Rewards package, including but not limited to a 401(k) with employer match up to 8% and additional service-based contributions, Health, Dental, and Vision insurance, Life and Disability coverage, generous PTO, Paid Sick Leave, and paid parental leave in addition to state-mandated leave.
Employees may also be eligible for discretionary bonuses.
Legal Disclaimer:
NJM is proud to be an equal opportunity employer. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business. About Us What Makes NJM Different? The NJM team comprises talented people who do the right thing by our policyholders and each other. You'll be part of a financially strong and stable company that has flourished on relationships, integrity, and service for more than a century. NJM is a special place where you can propel your career, help others, and make friends—all at the same time. NJM is proud to offer our employees continuous learning options, outstanding benefits, access to wellness programs, and opportunities to give back to the communities we are privileged to serve. We have been named a Forbes America's Best-in-State Employer for five consecutive years. Come join us! It's time for you to make a difference on our remarkable team. Read More Follow Us © 2026 Workday, Inc. All rights reserved.