RN Case Manager - Multi-State

To coordinate care for injured or disabled individuals, the full-time RN Case Manager - Multi-State will manage a caseload of high-risk, high-cost, and complex cases remotely, utilizing professional nursing judgment and case management principles to facilitate treatment and promote quality outcomes. Key responsibilities Manage a mix caseload of 30-40 field and telephonic case management files, establishing collaborative relationships among all stakeholders Assess and evaluate individualized care plans, ensuring quality and cost-effective care to support optimal function and return-to-work goals Track and document case management activities, maintaining accurate clinical documentation and adhering to relevant quality standards and guidelines Required qualifications Current, active, unrestricted RN license in primary residence state, preferably in a compact state 3-5 years of case management experience, including 1-2 years specifically in workers' compensation nursing case management Strong computer skills, particularly in Microsoft Suite (Outlook, Excel, Word) Professional Nursing degree (ASN, BSN) required

Experience with medical bill review in Workers' Compensation, Auto, or Health Insurance preferred