Hybrid Nurse Case Manager (TCM/FCM) - Return to Work Focus

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

Benefits offered by this job

Competitive salary

Profit sharing

401k matching

Generous PTO

Career growth

Job summary

Rising Medical Solutions, LLC is seeking a Nurse Case Manager to coordinate care for injured or disabled individuals. You will assess needs, develop care plans, and monitor progress to promote quality, cost-effective outcomes through collaboration with clients, providers, and other stakeholders.

Ideal candidates hold an active RN license (ASN/BSN) and have 3–5 years of case management experience, including 1–2 years in workers’ compensation NCM.

Qualifications

• Active RN license in primary residence state.
• 3–5 years of case management experience.
• 1–2 years of workers’ compensation NCM experience.
• CCM or other workers’ compensation certifications is a plus.
• Experience with Workers’ Compensation or disability claims.
• Strong interpersonal and customer-service focus.
• Ability to thrive in a fast-paced environment.

Responsibilities

• Maintain a mix caseload of field and/or telephonic case management files (typical caseload 30–40).
• Establish collaborative relationships among clients, employers, providers, attorneys, and other parties.
• Assess, coordinate, implement, and monitor individualized care plans.
• Track and report case management activity with accurate documentation.
• Adhere to quality standards, guidelines, and reporting requirements.
• Escalate clinical, operational, or compliance concerns as needed.
• Assist with URAC accreditation activities and related policies.
• Provide professional nursing insight to Rising Medical Solutions teams.

Skills

Case management

Communication skills

Time management

Customer service

Conflict resolution

Teamwork

Data reporting

Education

RN license (ASN/BSN)

CCM certification (plus)

Tools

Microsoft Office Suite

Claims management software

Job description

Rising Medical Solutions, LLC is seeking a Nurse Case Manager to coordinate care for injured or disabled individuals. You will assess needs, develop care plans, and monitor progress to promote quality, cost-effective outcomes through collaboration with clients, providers, and other stakeholders.

Ideal candidates hold an active RN license (ASN/BSN) and have 3–5 years of case management experience, including 1–2 years in workers’ compensation NCM.