Nurse Case Manager

Rising Medical Solutions

. Establish collaborative relationships and act as an intermediary between clients, patients, employers, providers, and attorneys .

Posted 11/4/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in case management, including assessment, coordination, and implementation of care plans for injured or disabled individuals. Proficient in utilizing managed care principles and maintaining organized clinical documentation while promoting quality, cost-effective care.

Highest-signal resume keywords

RN LicenseCase ManagementWorkers’ Compensation ExperienceUtilization ManagementExcellent Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Care Plan AssessmentInjury Severity AssessmentTreatment Plan CoordinationData CompilationClinical Documentation

Soft Skills

Interpersonal SkillsConflict ResolutionTime ManagementOrganizational SkillsCultural Sensitivity

Tools & Technologies

Microsoft SuiteExcelWordOutlook

Certifications & Qualifications

BSNCCM

Industry Keywords

Managed Care PrinciplesDisability ManagementHealthcare ContinuumReturn-to-Work PlansPatient Care Coordination

About the role

Key responsibilities & impact

Establish collaborative relationships and act as an intermediary between clients, patients, employers, providers, and attorneys
Assess, coordinate, implement, monitor, and evaluate care plans for injured or disabled individuals
Apply knowledge of medical necessity, care appropriateness, and managed care principles
Promote quality, cost-effective care throughout the health continuum
Help injured or disabled individuals return to an optimal level of work and functioning
Document case savings
Document ongoing progress of case management activities
Maintain organized files containing clinical documentation of interactions with all parties for every claim
Assess injury severity, disability extent, treatment plans, functional abilities, and physical job requirements
Establish return-to-work plans and strategies to manage future medical exposure
Coordinate all aspects of patient care for high-risk individuals
Evaluate patients, direct treatment plans, discuss claims, benefits, and eligibility, and manage resources alongside patients, families, and medical professionals

Requirements

What you’ll need

An RN License preferably in a compact state
California RN license a plus
Full Time – 9:00am CST to 5:30pm CST, with the ability to flex time based on the jurisdiction
Strong computer skills required – Microsoft Suite (Outlook, Excel, Word, etc.)
At least 3 years of TCM experience preferred
Experience with Workers’ Compensation or Disability Management
Ability to maintain confidentiality of all information, policies, and procedures
Ability to set priorities and work both autonomously and as part of a team
Demonstrated sensitivity to culturally diverse people and situations
Well-developed time management, organization, and prioritization skills
Knowledge of utilization management, case management, and healthcare provided throughout the health continuum
Excellent oral and written communication skills with a heavy focus on customer service
Ability to gather data, compile information, and prepare summary reports
Strong interpersonal and conflict resolution skills
Experience in a fast-paced, multi-faceted environment
Demonstrated persistence and attention to detail
Ability to stay calm during stressful situations
BSN, CCM, and/or other insurance/workers’ compensation certifications are a plus
Associate degree

Benefits

Comp & perks

Competitive base salary
Profit sharing
401k matching
Generous time off
Career growth opportunities
A relaxed, yet upbeat, work environment
Named a Top Workplace in the healthcare industry for 2023