Field Nurse Case Manager - Naples, FL

Opus Medical; Naples (FL); Remote; USD 72,000 - 98,000; Full time

Benefits offered by this job

Competitive pay

Bonus program

Flexible scheduling

Nurse referral program

CE support

Job summary

Opus Medical seeks a Nurse liaison to coordinate care and communicate medical information among the Injured Worker, the Insured, and the Carrier to ensure appropriate treatment, rehabilitation, and return to work. The role is remote and field-based with regular local travel up to 2 hours in your region.

Responsibilities include documenting data, attending physician visits, coordinating RTW planning, and providing translation where needed.

Qualifications

• Current, unrestricted RN license in applicable states.
• Discipline eligibility to practice case management in US.
• Completion of nursing program; ongoing CE as required.
• Must obtain and maintain nationally recognized case-management certification within 3 years or state-required timeframe.
• Two years FTE direct case management for injured workers or equivalent supervision preferred.

Responsibilities

• Follow CM plan policies and retain CM process accountability.
• Accept referrals from Director of Case Management.
• Schedule initial assessment and obtain next physician appointment date.
• Maintain communication with Injured Worker, Insured, and Carrier.
• Record data and billing in CaseAnyplace; submit monthly reports.
• Attend physician appointments to gather diagnosis, prognosis, and treatment plan.
• Coordinate RTW planning and vocational job analyses when appropriate.
• Coordinate transportation as needed.
• Provide translation for bilingual nurses when necessary.
• Promote teamwork and maximize billable hours per month.

Skills

RN license

Care coordination

Client communication

Education

Nursing degree

Tools

CaseAnyplace

EMR systems

Job description

Job Summary

Nurse liaison who coordinates care and communicates pertinent medical information among the Injured Worker, the Insured, and the Carrier to facilitate appropriate treatment, successful rehabilitation, and return to work. Delivers efficient, cost-effective communication for work injuries, MVAs, liability claims, LTD/STD, and other referred services. This is a remote, field-based role that involves regular local travel of up to 2 hours in your region.

Duties & Responsibilities

• Follow all policies/procedures in the Case Management (CM) plan; retain accountability for the CM process.

• Accept referrals as assigned by the Director of Case Management.

• Make initial contacts per CM plan; schedule initial assessment; obtain date of next physician appointment.

• Confirm assignment with referral source; clarify special handling instructions.

• Build professional relationships with clients; treat claimants with dignity.

• After physician appointments, contact Carrier and Insured per protocol; maintain ongoing communication with Injured Worker, Insured, and Carrier.

• Record data and billing in CaseAnyplace; submit timely monthly reports (Preliminary, Initial, Progress, Closing).

• Attend physician appointments; obtain diagnosis, prognosis, treatment plan, rehab length, estimated RTW (modified/regular duty), and MMI/Full Recovery as appropriate.

• Refer to Vocational Counselor for job analyses (modified/regular duty) when appropriate and approved by Carrier.

• Recommend IME physicians; coordinate and attend IMEs.

• Coordinate transportation as needed.

• Provide translation as needed (for bilingual nurses).

• Monitor treatment plan; attend therapy sessions when appropriate; maintain contact with therapists for updates.

• Request transfer of files to Vocational Counselor when appropriate (LMS, Voc Rehab).

• Assist Carrier/Insured with RTW planning (modified or regular duty).

• Provide information to Defense Attorneys as appropriate.

• Promote teamwork with all staff members.

• Maximize accurate, appropriate billable hours per monthly target (8 hrs/day).

• Maintain licensure/certifications; complete required annual training on time.

• Perform additional professional duties as assigned.

• Retain responsibility for tasks delegated to non-clinical staff.

Qualifications

• Registered Nurse: Current, unrestricted state license; licensed in each state where field case management is provided; able to perform independent assessments within scope.

• Discipline Eligibility: Practices in a U.S. state/territory allowing independent assessment within scope of practice.

• Education: Completion of a nursing program and ongoing CE as required.

• Certification: Must obtain and maintain at least one nationally recognized certification (e.g., CCM, CRC, CLNC, CRRN, etc.) within three (3) years of hire or within the state-required timeframe for practice, whichever is less.

• Experience: Two years FTE direct case management for injured workers or two years under supervision preferred.

Benefits

• Competitive pay and bonus program

• Health, dental, vision, and retirement plans

• Flexible scheduling

• Nurse referral program

• Continuing education support