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 for injured workers .

Posted 9/21/2026full-timeUrbandale • Iowa • 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, planning, and coordination of care for injured workers. Proficient in communication with stakeholders and maintaining compliance with medical guidelines and certifications.

Highest-signal resume keywords

Medical Case ManagementWorkers Compensation InsuranceRegistered Nurse (RN) LicenseCase Management Certification (CCM)Bilingual in Spanish and English

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical Record ReviewData AnalysisUtilization AssessmentCase Closure CoordinationDurable Medical Equipment CoordinationVocational Services CoordinationJob Analysis ReviewEvidence-Based Medical GuidelinesIndependent Case ManagementContinuing Education Units

Soft Skills

Strong Communication SkillsProfessionalismFlexibilityAdaptabilityTeamwork

Tools & Technologies

Case Management SoftwareDocumentation ToolsMedical Treatment Resources

Certifications & Qualifications

Registered Nurse (RN) LicenseCase Management Certification (CCM)

Industry Keywords

Workers CompensationMedical/Surgical Clinical ExperienceInjured Worker Treatment PlansCost-Effective CareVocational Resources

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 for 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 to ensure cost-effective, quality care
Review and analyze medical records and assess data to support appropriate case management and recommend case progress toward closure
Manage assigned caseloads, which may vary by number, territory and/or state jurisdiction
Coordinate home services, durable medical equipment, IMEs, admissions, discharges and vocational services when appropriate
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
Foster a teamwork environment
Maintain and update evidence-based medical guidelines in reference to injured-worker treatment plans and work status

Requirements

What you’ll need

Minimum 4 years of medical/surgical clinical experience required
Minimum 2 years of experience in workers compensation insurance and medical case management preferred
Graduate of an accredited school of nursing
Current RN license
Acquire and maintain nursing licensure for all jurisdictions as business needs require
Obtain and maintain applicable state certifications and/or licensures in the state where job duties are performed
Obtain case management professional certification (CCM) within 2 years of hire date
Earn Continuing Education Units to maintain certifications and licensures
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
Oral and written fluency in both Spanish and English a plus
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 plan
Competitive compensation plan
Full-time regular employee benefits package