Case Manager - Registered Nurse

Insight Global; South Jordan (UT); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Performance bonus

401(k) matching

PTO 18 days

Paid holidays 15-22

Laptop and monitors provided

Job summary

Insight Global's client seeks an experienced RN Case Manager to coordinate medical care for employees with work-related injuries. You'll work with providers, adjusters, employers, and stakeholders to ensure medically appropriate, cost-effective treatment and timely return to work.

Expect to manage 65-70 cases on average, review records for medical necessity, and monitor recovery. In-office presence is required 1-2 times per month for candidates near South Jordan, Utah.

Qualifications

• CA RN license or in process and willing to obtain, if required.
• 8+ years of clinical nursing experience.
• 3+ years in Case Management.
• BSN or equivalent experience in nursing.
• Knowledge of workers' compensation, utilization review, injury management.
• CCM certification or ability to obtain within 6-12 months.
• Up to 5% performance bonus and 401(k) matching.
• 18 days PTO and 15-22 paid holidays.
• Company-provided laptop and monitors.

Responsibilities

• Coordinate medical care for employees with work injuries.
• Manage caseload of 65-70 cases on average.
• Review records and treatment plans for medical necessity.
• Coordinate care with providers, adjusters, and employers.
• Document activity and ensure regulatory compliance.
• Identify barriers to recovery and drive claims toward resolution.

Skills

Nursing experience

Case management

Knowledge of workers' compensation

CCM certification or readiness

Education

BSN or equivalent experience

California RN License or currently obtaining

Tools

Company-provided laptop and monitors

Job description

Insight Global's client is seeking an experienced RN Case Manager to coordinate medical care for employees with work-related injuries. This individual will work with providers, adjusters, employers, and other stakeholders to ensure treatment is medically appropriate, cost-effective, and supports a timely return to work.

Responsibilities

• Manage an average caseload of 65-70 cases
• Review medical records and treatment plans for medical necessity
• Coordinate care and monitor injured employees' recovery
• Partner with providers, adjusters, and employers on treatment and return-to-work plans
• Document case activity and maintain regulatory and quality compliance
• Identify barriers to recovery and help drive claims toward resolution

Required Qualifications

• California RN License or currently obtaining
• 8+ years of clinical nursing experience
• 3+ years of Case Management experience
• BSN or equivalent experience
• Knowledge of workers' compensation, utilization review, injury management, and return-to-work practices
• CCM certification or ability to obtain within 6-12 months
• Up to 5% performance bonus
• 401(k) matching
• 18 days PTO
• 15-22 paid holidays
• Company-provided laptop and monitors

Candidates located near South Jordan should expect to be in office approximately 1-2 times per month.