Hybrid Nurse Case Manager – Workers’ Comp

SFM - The Work Comp Experts; Minneapolis (MN); Hybrid; USD 75,000 - 104,000; Full time

Benefits offered by this job

Comprehensive medical, dental, vision

Hybrid work environment

401(k) with match

Paid holidays and PTO

Employee assistance programs

Bonus opportunities

Job summary

SFM is seeking a Nurse Case Manager in Minnesota to provide telephonic medical case management for workers’ compensation claims, guiding care plans and coordinating services to promote timely return to work. The role emphasizes cost-effective, high-quality service while adhering to medical guidelines and state regulations.

The ideal candidate holds an RN license in Minnesota, with 2+ years in case management or occupational health; CCM/CDMS/CRRN designations are a plus.

Qualifications

• RN licensed in Minnesota
• Two years of relevant experience in case management, occupational health, or rehab preferred
• CCM/CDMS/CRRN or equivalent certifications are a plus
• Workers’ compensation knowledge is preferred

Responsibilities

• Provide telephonic medical case management for workers’ compensation claims, including assessment, care planning, and coordination of services to facilitate return to work and achieve end of healing or maximum medical improvement.
• Meet with injured workers, policyholders, and medical providers in person or virtually to support outcomes and document assessments for claims progress.
• Use return-to-work strategies with providers and policyholders to establish plans based on medical data and functional abilities.
• Educate on medical treatment parameters and disability duration to promote recovery and return to work.
• Provide clinical guidance to the claims team on medical treatment timing, cost containment, and return-to-work strategies.
• Contribute to multidisciplinary claim discussions and coordinate resources such as physician reviews, second opinions, IMEs, ergonomic evaluations, and job analyses.
• Deliver premier customer service and resolve issues promptly

Skills

Telephonic communication

Multidisciplinary collaboration

Client/customer service

Case management

Education

RN licensure in Minnesota

CCM/CDMS/CRRN certifications preferred

Job description

SFM is seeking a Nurse Case Manager in Minnesota to provide telephonic medical case management for workers’ compensation claims, guiding care plans and coordinating services to promote timely return to work. The role emphasizes cost-effective, high-quality service while adhering to medical guidelines and state regulations.

The ideal candidate holds an RN license in Minnesota, with 2+ years in case management or occupational health; CCM/CDMS/CRRN designations are a plus.