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Field Nurse Case Manager
Opus Medical. Coordinate care and communicate pertinent medical information among the Injured Worker, Insured, and Carrier .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in case management for injured workers, including coordination of care, communication with stakeholders, and adherence to treatment plans. Holds a current Registered Nurse license and relevant certifications while maintaining strong professional relationships and effective communication skills.
Highest-signal resume keywords
Registered Nurse LicenseCase Management ExperienceIndependent AssessmentsNationally Recognized CertificationBilingual Communication
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Case ManagementPatient AssessmentTreatment CoordinationData RecordingBilling ManagementReport SubmissionVocational Counseling ReferralIndependent Medical Examination CoordinationTransportation CoordinationTranslation Services
Soft Skills
Professional Relationship BuildingTeamworkCommunicationAccountabilityDignity in Treatment
Tools & Technologies
CaseAnyplace
Certifications & Qualifications
CCMCRCCLNCCRRN
Industry Keywords
Injured WorkerLiability ClaimsLTD/STDRehabilitationReturn to WorkMedical Information CommunicationField Case ManagementPhysician CollaborationTherapist CoordinationModified Duty Planning
About the role
Key responsibilities & impact- Coordinate care and communicate pertinent medical information among the Injured Worker, Insured, and Carrier
- Facilitate appropriate treatment, successful rehabilitation, and return to work
- Deliver efficient, cost-effective communication for work injuries, MVAs, liability claims, LTD/STD, and other referred services
- Follow the Case Management plan and retain accountability for the CM process
- Accept assigned referrals and confirm assignments with referral sources
- Make initial contacts, schedule initial assessments, and obtain physician appointment dates
- Build professional relationships with clients and treat claimants with dignity
- Maintain ongoing communication with Injured Workers, Insureds, Carriers, physicians, therapists, and other stakeholders
- Record data and billing in CaseAnyplace
- Submit timely monthly Preliminary, Initial, Progress, and Closing reports
- Attend physician appointments and obtain diagnosis, prognosis, treatment plans, rehabilitation length, estimated return-to-work status, and MMI/Full Recovery information
- Refer to Vocational Counselors for job analyses when appropriate and approved
- Recommend and coordinate Independent Medical Examinations (IMEs)
- Coordinate transportation as needed
- Provide translation as needed for bilingual nurses
- Monitor treatment plans and attend therapy sessions when appropriate
- Request transfer of files to Vocational Counselors when appropriate
- Assist Carriers/Insureds with modified or regular-duty return-to-work planning
- Provide information to Defense Attorneys as appropriate
- Promote teamwork with all staff members
- Maximize accurate, appropriate billable hours toward a monthly target of 8 hours per day
- Maintain licensure and certifications and complete required annual training
- Perform additional professional duties as assigned
- Retain responsibility for tasks delegated to non-clinical staff
Requirements
What you’ll need- Current, unrestricted Registered Nurse state license
- Licensed in each state where field case management is provided
- Able to perform independent assessments within scope
- Practices in a U.S. state/territory allowing independent assessment within scope of practice
- Completion of a nursing program and ongoing CE as required
- Must obtain and maintain at least one nationally recognized certification (e.g., CCM, CRC, CLNC, CRRN, etc.) within three years of hire or within the state-required timeframe for practice, whichever is less
- Two years FTE direct case management for injured workers or two years under supervision preferred
- Bilingual ability may be needed for translation responsibilities
Benefits
Comp & perks- Competitive pay and bonus program
- Health, dental, vision, and retirement plans
- Flexible scheduling
- Nurse referral program
- Continuing education support