Nurse liaison who coordinates care and communicates pertinent medical information among the Injured Worker, the Insured, and the Carrier
Follow all policies/procedures in the Case Management (CM) plan
Accept referrals as assigned by the Director of Case Management
Make initial contacts per CM plan; schedule initial assessment
Confirm assignment with referral source; clarify special handling instructions
Build professional relationships with clients; treat claimants with dignity
Maintain ongoing communication with Injured Worker, Insured, and Carrier
Record data and billing in CaseAnyplace; submit timely monthly reports
Attend physician appointments; obtain diagnosis, prognosis, treatment plan
Refer to Vocational Counselor for job analyses when appropriate and approved by Carrier
Recommend IME physicians; coordinate and attend IMEs
Assist Carrier/Insured with RTW planning
Provide information to Defense Attorneys as appropriate
Maximize accurate, appropriate billable hours per monthly target
Maintain licensure/certifications; complete required annual training on time

Current, unrestricted state license as a Registered Nurse
Practices in a U.S. state/territory allowing independent assessment within scope of practice
Completion of a nursing program and ongoing CE as required
One or more national certifications within 4 years of hire (e.g., CCM, CRC, CLNC, CRRN) preferred
Two years FTE direct case management for injured workers or two years under supervision preferred

Field Nurse Case Manager

Key skills