Hybrid Nurse Case Manager: Complex Care & Return-to-Work

Rising Medical Solutions; Florida; On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Competitive base salary

Top Workplace 2023

Career growth opportunities

Job summary

Rising Medical Solutions, LLC is seeking a Nurse Case Manager to coordinate care for injured or disabled individuals, including high-risk and complex cases. You will assess needs, develop individualized care plans, and monitor progress to promote quality, cost-effective outcomes in collaboration with clients, patients, employers, providers, attorneys, and other stakeholders.

You will manage a mix caseload of 30–40 cases, work with diverse teams, and ensure timely, accurate documentation while

Qualifications

• Active RN license in primary residence state; compact state preferred
• 3–5 years of case management experience; 1–2 years in workers' compensation NCM
• Experience with workers' compensation, liability, or disability claims
• CCM or other insurance/workers' comp certifications is a huge plus; Nursing degree (ASN/BSN)

Responsibilities

• Coordinate care for injured/disabled individuals, including complex cases
• Maintain a caseload of field and/or telephonic case management files (30–40 cases)
• Assess needs and develop individualized care plans
• Track and report case management activity with accurate documentation
• Ensure compliance with quality standards and reporting requirements
• Escalate concerns to supervisor as needed
• Provide nursing insights to internal teams as requested

Skills

Case management

RN license

MS Office

Communication

Time management

CCM certification

Workers' comp

Medical billing review

Education

ASN/BSN

Tools

Microsoft Office Suite

Job description

Rising Medical Solutions, LLC is seeking a Nurse Case Manager to coordinate care for injured or disabled individuals, including high-risk and complex cases. You will assess needs, develop individualized care plans, and monitor progress to promote quality, cost-effective outcomes in collaboration with clients, patients, employers, providers, attorneys, and other stakeholders.

You will manage a mix caseload of 30–40 cases, work with diverse teams, and ensure timely, accurate documentation while