Workers Compensation – Telephonic Nurse Case Manager

W. R. Berkley Corporation

. Assess, plan, coordinate, monitor, evaluate and implement options and services to facilitate timely medical care and return-to-work outcomes of injured workers .

Posted 9/22/2026full-timeScottsdale • Arizona • United StatesMid-LevelSenior💰 $75,000 - $88,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical case management, including assessment, coordination, and implementation of services to facilitate timely medical care and return-to-work outcomes. Holds relevant nursing licensure and certifications, with strong communication and organizational skills to manage caseloads effectively.

Highest-signal resume keywords

Medical Case ManagementCalifornia RN LicenseCCM CertificationWorkers Compensation InsuranceClinical Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical Record ReviewData AnalysisUtilization AssessmentCase Closure CoordinationJob Analysis Review

Soft Skills

Strong Communication SkillsProfessionalismFlexibilityAdaptabilityTeamwork

Tools & Technologies

Documentation ToolsMedical GuidelinesVocational Resources

Certifications & Qualifications

CCM CertificationCurrent RN LicenseContinuing Education Units

Industry Keywords

Workers CompensationMedical Case ManagementDurable Medical EquipmentVocational ServicesState Regulations

About the role

Key responsibilities & impact

Assess, plan, coordinate, monitor, evaluate and implement options and services to facilitate timely medical care and return-to-work outcomes of injured workers
Coordinate and implement medical case management to facilitate case closure
Communicate with employers, adjusters and injured workers
Assess utilization of medical treatment and services through contact with physicians and other specialists
Review and analyze medical records and assess data to support case management and recommend case progress toward closure
Manage assigned caseloads across varying numbers, territories and state jurisdictions
Acquire and maintain nursing licensure for jurisdictions as business needs require
Coordinate home services, durable medical equipment, IMEs, admissions, discharges and vocational services, evaluating cost effectiveness and quality
Document activities and case progress using appropriate methods and tools
Review job analyses and job descriptions with providers and employers to coordinate disability case management and return to work
Participate in special projects assigned by case management leadership
Occasionally attend onsite meetings and professional programs
Maintain and update evidence-based medical guidelines and state-regulated guidelines
Obtain and maintain applicable state certifications and/or licensures
Obtain CCM certification within 2 years of hire date
Foster a teamwork environment

Requirements

What you’ll need

Minimum 2 years of experience in workers compensation insurance and medical case management preferred
Ability to work Pacific Standard Time business hours
California RN license greatly preferred
Minimum of 4 years medical/surgical clinical experience required
Strong communication skills, professionalism, flexibility and adaptability
Working knowledge of medical and vocational resources available to the Workers’ Compensation industry
Ability to perform case management duties independently
Computer and technology skills
Graduate of an accredited school of nursing
Current RN license
RN compact license preferred
Case management professional certification (CCM) preferred and required within 2 years of hire date
Bachelor of Nursing preferred
Continuing Education Units to maintain certifications and licensures
Domestic U.S. travel required (up to 10% of time)
Sponsorship not Offered for this Role

Benefits

Comp & perks

Health insurance
Dental insurance
Vision insurance
Life insurance
Disability insurance
Wellness benefits
Paid Time Off
401(k) plan
Profit-Sharing plans
Competitive compensation plan
Continuing Education Units to maintain certifications and licensures