About the job
As a Field Nurse Case Manager, you will serve as a vital liaison in coordinating care and sharing critical medical information between the Injured Worker, the Insured, and the Carrier, ensuring optimal treatment, effective rehabilitation, and a smooth transition back to work. Your role will emphasize the delivery of timely, cost-efficient communication related to work injuries, motor vehicle accidents, liability claims, and other specialized services. This position allows for remote work with regular local travel of up to 2 hours within your designated region.
Key Responsibilities
Adhere to all policies and procedures outlined in the Case Management (CM) plan, maintaining accountability throughout the CM process.
Receive and manage referrals as assigned by the Director of Case Management.
Initiate contacts according to the CM plan, schedule initial assessments, and confirm the next physician appointment date.
Verify assignments with the referral source and clarify any special handling instructions.
Develop and nurture professional relationships with clients, treating all claimants with respect and dignity.
Maintain consistent communication with the Injured Worker, Insured, and Carrier following physician appointments.
Document data and billing accurately in CaseAnyplace and submit monthly reports in a timely manner (Preliminary, Initial, Progress, Closing).
Attend physician appointments to gather diagnosis, prognosis, treatment plans, rehabilitation timelines, and return-to-work (RTW) estimates.
Collaborate with Vocational Counselors for job analyses when necessary and approved by the Carrier.
Recommend and coordinate Independent Medical Examinations (IMEs) and attend these appointments.
Arrange transportation for clients as required.
Provide translation services when necessary (for bilingual nurses).
Monitor treatment plans and attend therapy sessions as appropriate, maintaining regular contact with therapists for updates.
Request file transfers to Vocational Counselors when necessary (LMS, Voc Rehab).
Assist the Carrier/Insured with return-to-work planning (modified or regular duty).
Provide relevant information to Defense Attorneys as required.
Encourage teamwork and collaboration among staff members.
Aim to maximize accurate billable hours, targeting 8 hours per day.
