Director of Workers’ Nurse Case Management; RN

Amphibious Medics, part of The Amphibious Group, delivers occupational medical services to construction, industrial, manufacturing, energy, and other high-demand workplaces nationwide. Our work includes on-site medical care, injury management, telehealth, and return-to-work coordination.

We are seeking an experienced Registered Nurse (RN) with substantial workers’ compensation nurse case management and claims coordination experience to lead our growing Nurse Case Management function. This is a hands-on clinical and operational leadership role, not solely an administrative position. The Director reviews complex and escalated cases, leads and develops three existing Case Officers, establishes consistent standards, and oversees the quality, efficiency, accountability, and continued improvement of case management operations.

Candidates should understand workers’ compensation claims processes, return-to-work programs, and coordination with insurance carriers, third-party administrators (TPAs), and managing general agents (MGAs).

• Review work-related injury and illness cases originating from Amphibious Medics field operations and oversee internal employee cases for Amphibious Medics and affiliated entities.
• Evaluate clinical records, treatment plans, referrals, work restrictions, recovery progress, and return-to-work opportunities; directly manage complex or escalated cases and identify barriers to timely resolution.
• Coordinate with injured workers, field clinicians, treating providers, the Medical Director, employers, and appropriate carrier, TPA, or MGA representatives to support care coordination, claim-related communication, and safe, timely return to work.
• Apply independent, evidence-based nursing judgment; identify documentation inconsistencies, gaps in care, or inappropriate pressure regarding clinical findings and elevate concerns through established channels.
• Maintain medical confidentiality and clear boundaries between clinical case management, employer recordkeeping, claim compensability, and claims decisions reserved for authorized parties.
• Ensure nursing assessments, case reviews, and delegated activities remain within applicable RN scope-of-practice requirements and established protocols.

• Directly supervise, mentor, train, and evaluate three Case Officers; establish clear role boundaries, individual objectives, competency expectations, and performance improvement plans as appropriate.
• Conduct regular case conferences, documentation audits, quality reviews, and targeted coaching; ensure nonlicensed personnel recognize escalation triggers without independently making clinical decisions.
• Build consistent expectations for communication, documentation accuracy, responsiveness, ownership, and professional conduct.

• Oversee case management performance, including service quality, caseload distribution, timely follow-up, case aging, return-to-work coordination, and resolution of barriers to recovery.
• Standardize injury intake, clinical review, claims-related communication, escalation, handoffs, follow-up, documentation, return-to-work coordination, closure, and quality assurance across projects and time zones.
• Track and report department metrics, including case timeliness, follow-up completion, return-to-work progress, documentation quality, and trends requiring corrective action.
• Evaluate staffing capacity, training needs, systems, and technology; support recruitment, onboarding, and responsible expansion as case volume grows.
• Collaborate with Operations, Human Resources, Client Success, Business Development, and external claims partners to support…