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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 professional relationships and accountability in the case management process.
Highest-signal resume keywords
Registered Nurse LicenseCase Management ExperienceNationally Recognized CertificationBilingual AbilityIndependent Assessments
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 ManagementIndependent AssessmentsData RecordingBilling ManagementTreatment Plan MonitoringReport SubmissionReferral CoordinationClient CommunicationTransportation CoordinationJob Analysis Referral
Soft Skills
Professional Relationship BuildingTeamworkCommunicationAccountabilityDignity in Treatment
Tools & Technologies
CaseAnyplace
Certifications & Qualifications
CCMCRCCLNCCRRN
Industry Keywords
Injured Worker ManagementLiability ClaimsLTD/STDVocational CounselingIME Coordination
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
- Manage work injuries, MVAs, liability claims, LTD/STD, and other referred services
- Follow the Case Management plan and retain accountability for the CM process
- Accept and manage referrals assigned by the Director of Case Management
- Make initial contacts, schedule assessments, and obtain physician appointment information
- Confirm assignments and clarify special handling instructions
- Build professional relationships with clients and treat claimants with dignity
- Maintain ongoing communication with the Injured Worker, Insured, Carrier, and referral sources
- Record data and billing in CaseAnyplace
- Submit timely monthly Preliminary, Initial, Progress, and Closing reports
- Attend physician appointments and obtain diagnosis, prognosis, treatment plan, 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 IME physicians and attend IMEs
- Coordinate transportation as needed
- Monitor treatment plans and attend therapy sessions when appropriate
- Maintain contact with therapists for updates
- Request file transfers to Vocational Counselors when appropriate
- Assist Carrier/Insured with modified or regular-duty return-to-work planning
- Provide information to Defense Attorneys as appropriate
- Promote teamwork with staff members
- Maximize accurate, appropriate billable hours toward an 8-hour-per-day monthly target
- Maintain licensure and certifications and complete annual training on time
- Retain responsibility for tasks delegated to non-clinical staff
- Perform additional professional duties as assigned
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 providing translation
Benefits
Comp & perks- Competitive pay and bonus program
- Health, dental, vision, and retirement plans
- Flexible scheduling
- Nurse referral program
- Continuing education support