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Nurse 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.
$68,706 / year median in the U.S.
+4% projected growth
Job Description
- Nurse Case Manager
- This fully remote or hybrid role provides telephonic case management for injured workers. The Nurse Case Manager assesses, plans, and coordinates care to support recovery and timely return to work. Using clinical expertise, this role develops proactive strategies, collaborates with key stakeholders, and drives cost-effective medical and claim outcomes.
Start Date:
October 26th, 2026- Key Responsibilities
- + Conduct comprehensive clinical assessments using telephonic interviews, medical records, and data from multiple sources, addressing complex conditions including co-morbidities and biopsychosocial factors + Develop and implement individualized case management strategies to support medical stability and timely return to work + Identify complex cases requiring additional coordination and collaborate with internal and external stakeholders to evaluate injury, causation, and work capacity + Apply clinical guidelines, company policies, and regulatory requirements to ensure compliant and appropriate case management decisions + Utilize a holistic approach to focus on medical care and functional recovery, promoting efficient treatment and return-to-work outcomes + Partner with supervisors and cross-functional teams to address barriers, resolve issues, and support overall claim performance through meetings and case reviews •Required Qualifications•+ RN with current unrestricted state licensure + Associate's Degree in Nursing required •Preferred Qualifications•+ Minimum 2 plus years of clinical experience in one or more of the following: + Acute care + Orthopedics + Rehabilitation + Occupational/industrial health + Behavioral health + Disability Case management + CCM, CDMS, CRC, CVE, and/or current CRRN or willingness to pursue + Bachelor's degree in nursing + Workers Compensation case management experience •Key Competencies•+ Proficiency in Microsoft Office and navigating multiple systems + Ability to effectively communicate telephonically and in written form.
- Work Arrangement
- This role can have a Hybrid or Remote work schedule.
- Compensation
- The listed annualized base pay range is primarily based on analysis of similar positions in the external market.