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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. Holds a current Registered Nurse license and relevant certifications while maintaining strong professional relationships and effective treatment planning.
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 ManagementTreatment CoordinationData RecordingBilling ManagementAssessment SchedulingReport SubmissionMedical Examination CoordinationFile Transfer ManagementReturn-To-Work PlanningTherapy Session Monitoring
Soft Skills
Professional Relationship BuildingTeamworkCommunicationAccountabilityDignity in Treatment
Tools & Technologies
CaseAnyplace
Certifications & Qualifications
CCMCRCCLNCCRRN
Industry Keywords
Injured WorkerLiability ClaimsLTD/STDVocational CounselingIndependent Medical ExaminationModified Duty PlanningMedical Information CommunicationRehabilitationCost-Effective CommunicationField 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 all policies/procedures in the Case Management plan and retain accountability for the CM process
- Accept referrals and make initial contacts according to the CM plan
- Schedule initial assessments and obtain dates of physician appointments
- 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 Independent Medical Examinations 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 Counselors when appropriate
- Assist the 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 per day
- 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
- Maintain licensure/certifications and complete required annual training on time
Benefits
Comp & perks- Competitive pay and bonus program
- Health, dental, vision, and retirement plans
- Flexible scheduling
- Nurse referral program
- Continuing education support