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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 policies and procedures. Proficient in conducting assessments, managing treatment plans, and maintaining professional relationships while ensuring compliance with licensure and certification requirements.
Highest-signal resume keywords
Registered Nurse LicenseCase Management ExperienceIndependent AssessmentsNational Certifications (CCM, CRC, CLNC, CRRN)Bilingual 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 RecordingReport SubmissionBilling ManagementVocational Counseling ReferralIME CoordinationTransportation CoordinationTherapy Session Monitoring
Soft Skills
Professional Relationship BuildingTeamworkCommunicationAccountabilityDignity in Treatment
Tools & Technologies
CaseAnyplace
Certifications & Qualifications
Registered Nurse LicenseNational Certifications (CCM, CRC, CLNC, CRRN)
Industry Keywords
Injured WorkerLiability ClaimsLTD/STDRehabilitationReturn to WorkMedical Information CoordinationField Case ManagementIndependent AssessmentBilingual NursingProfessional Duties
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 all policies and procedures in the Case Management plan and retain accountability for the CM process
- Accept referrals assigned by the Director of Case Management
- Make initial contacts, schedule initial assessments, and obtain the next physician appointment date
- Confirm assignments with referral sources and clarify special handling instructions
- Build professional relationships with clients and treat claimants with dignity
- Maintain ongoing communication with the Injured Worker, Insured, and Carrier
- 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, and MMI/Full Recovery information
- Refer to Vocational Counselors for job analyses when appropriate and approved by the Carrier
- Recommend and coordinate IME physicians and attend IMEs
- Coordinate transportation as needed
- Provide translation as needed for bilingual nurses
- Monitor treatment plans, attend therapy sessions when appropriate, and maintain contact with therapists
- 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 all staff members
- Maximize accurate, appropriate billable hours per monthly target of 8 hours/day
- 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
- 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
- Maintain licensure/certifications
- Complete required annual training on time
- Are you bilingual? application question
Benefits
Comp & perks- Competitive pay and bonus program
- Health, dental, vision, and retirement plans
- Flexible scheduling
- Nurse referral program
- Continuing education support