Telephonic Case Manager

We're seeking a compassionate and experienced RN Telephonic Case Manager to join our growing team.

• 100% Remote Work Environment
• Competitive Compensation Based on Experience
• Quarterly Performance Bonuses
• Free CEUs for Ongoing Professional Development
• License and Certification Reimbursement
• Excellent Work-Life Balance

• Active Multi-State RN License
• Must reside in a Compact State
• National Certifications preferred: CCM, CRC, COHN, or CRRC
• Workers' Compensation Case Management experience is highly valued

You’ll provide impactful case management services that help patients and employees navigate their healthcare journey. Working within URAC standards, CMSA Standards of Practice, and Broadspire QA Guidelines, you’ll ensure quality care while promoting positive outcomes and cost-effective solutions.

• Associate’s degree or relevant course work/certification in Nursing is required; BSN Degree is preferred.
• Minimum of 1-3 years diverse clinical experience and one of the below:
• Certification as a case manager from the URAC-approved list of certifications (preferred);
• A registered nurse (RN) license.
• Must be compliant with state requirements regarding national certifications.
• General working knowledge of case management practices and ability to quickly learn and apply workers compensation/case management products and services.
• Excellent oral and written communications skills to effectively facilitate return-to-work solutions within a matrix organization and ensure timely, quality documentation.
• Excellent analytical and customer service skills to facilitate the resolution of case management problems.
• Basic computer skills including working knowledge of Microsoft Office products and Lotus Notes.
• Demonstrated ability to establish collaborative working relationships with claims adjusters, employers, patients, attorneys and all levels of employees.
• Demonstrated ability to gather and analyze data and establish plans to improve trends, processes, and outcomes.
• Excellent organizational skills as evidenced by proven ability to handle multiple tasks simultaneously.
• Demonstrated leadership ability with a basic understanding of supervisory and management principles.
• Active RN home state licensure in good standing without restrictions with the State Board of Nursing.
• Must meet specific requirements to provide medical case management services.
• Minimum of 1 National Certification (CCM, CDMS, CRRN, and COHN) is preferred. If not attained, must plan to take certification exam within proceeding 36 months.
• National certification must be obtained in order to reach Senior Medical Case Management status.