Nurse Case Manager; Worker's

Position: Nurse Case Manager (Worker's Compensation)
Division or Field Office:

Claims I Division

Department of Position:
Workers' Compensation Dept

Work from:

Home (within ERIE footprint) Salary Range:

$70,705.00 - $
* salary range is for this level and may vary based on actual level of role hired for

* This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIE's geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired. Position may be eligible for an annual bonus payment.

At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a diverse and inclusive team that includes more than 6,000 employees and over 13,000 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia.

Benefits That Go Beyond The Basics

We strive to be Above all in Service to our customers-and to our employees. That's why Erie Insurance offers you an exceptional benefits package, including:

* Premier health, prescription, dental, and vision benefits for you and your dependents. Coverage begins your first day of work.

* Low contributions to medical and prescription premiums. We currently pay up to 97% of employees' monthly premium costs.

* Pension. We are one of only 13 Fortune 500 companies to offer a traditional pension plan. Full-time employees are vested after five years of service.

* 401(k) with up to 4% contribution match. The 401(k) is offered in addition to the pension.

* Paid time off. Paid vacation, personal days, sick days, bereavement days and parental leave.

* Career development. Including a tuition reimbursement program for higher education and industry designations.

Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year.

Position Summary

Regularly exercises independent discretion and judgment in the coordination and management of the medical and disability process. Provides medical and rehabilitation consultation and education to claims personnel.

What You'll Do

As a Nurse Case Manager supporting Workers' Compensation claims, you'll use your clinical expertise and independent judgment to guide injured workers through the medical and disability process. You'll collaborate closely with claims professionals, medical providers, employers, and injured employees to ensure treatment plans are appropriate, cost-effective, and aligned with recovery goals. From evaluating care plans and disability timelines to facilitating safe return-to-work outcomes, you'll play a key role in driving strong claim results while advocating for quality care.

This is a remote, Monday through Friday position - no weekends - designed for a nurse who thrives in an autonomous, fast-paced environment and is confident managing their own caseload.

Location:

Will work remote from home and ideally based in North Carolina (strongly preferred) or Virginia. Candidates within Erie's operational footprint will also be considered.

* All Employees that work remotely must have access to internet service bandwidth speeds that meet ERIE's requirement of 50 mbps download and 10 mbps upload.

What Makes You Stand Out

* Active, unrestricted RN license

* Certified Case Manager (CCM) designation - or willingness to obtain (required for handling North Carolina Workers' Compensation claims)

* Experience in Workers' Compensation case management

* Strong clinical background, especially in Critical Care, ER, ICU, Trauma, Orthopedics, or Neurosurgery

* Ability to work independently and manage claims with sound clinical judgment

* Exceptional written communication skills - documentation and clarity matter

* Bilingual skills

Duties and Responsibilities

* Coordinates the injured workers' medical treatment to ensure both cost effective and medically appropriate care is provided.

* Identifies inappropriate, experimental, over utilization or costly medical treatment.

* Facilitates the return to work process by acting as a liaison between the insured, medical provider, injured worker and the claims handler. Prepares job analyses and obtains medical clearance for return to work.

* Provides the claims handler with appropriate disability time frames through the utilization of the Official Disability Guidelines.

* Coordinates treatment plans for cases involving catastrophic injuries and complicated medical conditions.

* Questions the causal relationship between the treatment and injury claimed.

* Assists in identifying and evaluating providers and managed care vendors.

* Oversees Vocational Rehabilitation activities in…