Nurse Case Manager/Workers Comp Specialist

Nurse Case Manager/Worker's Comp Specialist The Nurse Case Manager/Worker's Comp Specialist is responsible for coordinating and optimizing medical care for injured workers within the Oregon workers' compensation system. This role collaborates closely with physician reviewers, treating providers, and claims staff to determine appropriate levels of care, explore treatment and provider options, and address barriers to recovery. Key Responsibilities Review level-of-care determinations and support physicians by gathering clinical information and asking follow-up questions. Engage with treating providers when scheduled medical case management calls do not occur, speaking on behalf of the physician reviewer as appropriate. Educate providers and injured workers on Oregon workers' compensation requirements, processes, and responsibilities. Identify psycho-social and claim-related risk factors that may delay recovery and help develop plans to address them. Coordinate resources and referrals for injured workers, including community supports such as housing or food assistance when needed. Mentor and coach claims staff on medical and technical elements related to medical treatment review and case management. Support process improvement efforts related to medical treatment review and medical case management, including implementing new tools and workflows. Qualifications Current Oregon Registered Nurse (RN) license. At least 3 years of workers' compensation, clinical, and/or case management experience. Strong problem-solving, critical thinking, and communication skills, with the ability to collaborate effectively with providers, claims staff, and other stakeholders.

Salary:

$90K-$100K/year. (DOE) Benefits Benefits are available to eligible full-time employees and include coverage for medical, dental, vision, life insurance, short and long term disability, and matching 401k. Meet VanderHouwen What kind of recruiter do you see yourself working with? One who prioritizes your best interest, no matter what? VanderHouwen does, and were in it for the long game! Our recruiters focus on YOU, building meaningful, long-term relationships while developing a deep understanding of companies staffing needs and workplace cultures. This approach helps us find an ideal job match that aligns with your unique career aspirations and goals. VanderHouwen is an award-winning, Women & Diversity-Owned, WBENC certified professional staffing firm. Founded in 1987, VanderHouwen places experienced professionals across the nation! Our recruitment teams specialize in either Technology and IT, Engineering, Human Resources, or Accounting and Finance career markets. Partner with us to land your next exciting career! VanderHouwen is an Equal Opportunity Employer and participates in E-Verify. VanderHouwen does not discriminate based on race, color, religion, sex, national origin, age, disability, or any other characteristic protected by applicable local, state, or federal civil rights laws. #LI-Hybrid