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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. Holds a current Registered Nurse license and relevant certifications while maintaining accountability for the case management process.
Highest-signal resume keywords
Registered Nurse LicenseCase Management ExperienceNationally Recognized CertificationIndependent 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 MonitoringReport SubmissionVocational Counseling CoordinationTransportation CoordinationClient Relationship ManagementMedical Information Communication
Soft Skills
TeamworkProfessionalismCommunicationClient DignityAccountability
Tools & Technologies
CaseAnyplace
Certifications & Qualifications
CCMCRCCLNCCRRN
Industry Keywords
Injured WorkerLiability ClaimsLTD/STDRehabilitationReturn-to-Work PlanningPhysician AppointmentsIMEsTherapy SessionsVocational CounselorField Case Management
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 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 physician appointment dates
- 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 status, and MMI/Full Recovery information
- Refer to Vocational Counselor for job analyses when appropriate and approved by Carrier
- Recommend, coordinate, and attend IMEs
- Coordinate transportation as needed
- Monitor treatment plans and attend therapy sessions when appropriate
- Maintain contact with therapists for updates
- Request transfer of files 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 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 on time
- 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
- Ability to provide translation as needed for bilingual nurses
Benefits
Comp & perks- Competitive pay and bonus program
- Health, dental, vision, and retirement plans
- Flexible scheduling
- Nurse referral program
- Continuing education support