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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 national certifications to ensure compliance and effective rehabilitation outcomes.
Highest-signal resume keywords
Registered Nurse LicenseCase Management ExperienceNational Certifications (CCM, CRC, CLNC, CRRN)Independent AssessmentsBilingual 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 ManagementIndependent AssessmentsData RecordingBilling ManagementTreatment Plan Monitoring
Soft Skills
Client Relationship BuildingEffective CommunicationTeamworkAccountability
Tools & Technologies
CaseAnyplace
Certifications & Qualifications
Registered Nurse LicenseCCMCRCCLNCCRRN
Industry Keywords
Injured WorkerRehabilitationReturn to WorkVocational 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
- Deliver efficient, cost-effective communication for work injuries, MVAs, liability claims, LTD/STD, and other referred services
- Follow Case Management plan policies and retain accountability for the CM process
- Accept assigned referrals and make initial contacts
- Schedule initial assessments and obtain upcoming physician appointment dates
- Confirm assignments and clarify special handling instructions
- Build professional client relationships 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 status, and MMI/Full Recovery information
- Refer to Vocational Counselor for job analyses when appropriate and approved by Carrier
- Recommend and coordinate IME physicians and attend IMEs
- Coordinate transportation as needed
- Provide translation as needed for bilingual nurses
- Monitor treatment plans and attend therapy sessions when appropriate
- Maintain contact with therapists for updates
- Request file transfers to Vocational Counselor 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 toward the monthly target of 8 hours/day
- Perform additional professional duties as assigned
- Retain responsibility for tasks delegated to non-clinical staff
Requirements
What you’ll need- Current, unrestricted state Registered Nurse 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 and complete required annual training on time
- Regular local travel of up to 2 hours in the region
- Bilingual ability may be needed for translation duties
Benefits
Comp & perks- Competitive pay and bonus program
- Health, dental, vision, and retirement plans
- Flexible scheduling
- Nurse referral program
- Continuing education support