Medical Case Manager- Los Angeles County, CA

Crawford & Company; United States; Remote; USD 85,000 - 120,000; Full time

Benefits offered by this job

CEUs

Certification reimbursement

Bonus opportunities

Remote work

Job summary

Crawford & Company is seeking an RN Case Manager for the Los Angeles County region. This remote position includes local field travel and offers opportunities for quarterly bonuses and CEU support.

An RN license and current certifications are required or in progress, with URAC-approved certifications preferred. You will manage complex workers’ compensation, health, liability, and care-management cases, conducting assessments, coordinating care, and documenting with accuracy.

Qualifications

• RN degree required.
• National Certification preferred (CCM, CRC, COHN, CRRN).
• Workers’ Comp case management experience a plus.
• Associate degree or nursing coursework required; BSN preferred.
• Active RN license in good standing.
• Travel up to 70% may be required.
• Must reside in or near Los Angeles area.

Responsibilities

• Provide cost-effective medical case management services.
• Deliver case management aligned with URAC, CMSA Standards of Practice, and Broadspire QA Guidelines.
• Support patients/employees with insurance benefits (Workers’ Comp, Health, Disability, Liability, and Care Management).
• Collaborate with claims adjusters, employers, attorneys and staff.
• Maintain timely, high-quality documentation.

Skills

RN knowledge & case management

Excellent communication

Analytical skills

Customer service

Education

Associate's degree in Nursing or related

BSN preferred

Tools

Microsoft Office

Lotus Notes

Job description

Now Hiring: RN Case Manager – Los Angeles County, CA Region

• Remote position + local field travel
• Salary: Competitive & commensurate with experience
• Quarterly Bonus Opportunities
• Free CEUs for licenses & certificates
• License & Certification Reimbursement

We’re looking for an RN with a passion for case management to join our team!

• RN degree required
• National Certification preferred (CCM, CRC, COHN, CRRN)
• Workers’ Comp Case Management experience a plus

Target Area: Los Angeles County

Candidates should reside in or near Los Angeles, Pasadena, Glendale, Burbank, Lancaster, Palmdale, Santa Clarita, Torrance, Long Beach, Inglewood, Downey, Norwalk, Whittier, El Monte, West Covina, Pomona, Carson, Compton, and surrounding communities.

Your Impact: You’ll provide effective case management services in a cost‑effective manner, delivering medical case management consistent with URAC standards, CMSA Standards of Practice, and Broadspire QA Guidelines. You’ll support patients/employees receiving benefits under insurance lines including Workers’ Compensation, Group Health, Liability, Disability, and Care Management.

This is your chance to grow your career, earn great rewards, and enjoy true work-life balance.

• Associate's degree or relevant course work/certification in Nursing is required; BSN Degree is preferred.
• Minimum of 1-3 years diverse clinical experience and one of the below:
• Certification as a case manager from the URAC-approved list of certifications (preferred);
• A registered nurse (RN) license.
• Must be compliant with state requirements regarding national certifications.
• General working knowledge of case management practices and ability to quickly learn and apply workers compensation/case management products and services.
• Excellent oral and written communications skills to effectively facilitate return-to-work solutions within a matrix organization and ensure timely, quality documentation.
• Excellent analytical and customer service skills to facilitate the resolution of case management problems.
• Basic computer skills including working knowledge of Microsoft Office products and Lotus Notes.
• Demonstrated ability to establish collaborative working relationships with claims adjusters, employers, patients, attorneys and all levels of employees.
• Demonstrated ability to gather and analyze data and establish plans to improve trends, processes, and outcomes.
• Excellent organizational skills as evidenced by proven ability to handle multiple tasks simultaneously.
• Demonstrated leadership ability with a basic understanding of supervisory and management principles.
• Active RN home state licensure in good standing without restrictions with the State Board of Nursing.
• Must meet specific requirements to provide medical case management services.
• Minimum of 1 National Certification (CCM, CDMS, CRRN, and COHN) is preferred. If not attained, must plan to take certification exam within proceeding 36 months.
• National certification must be obtained in order to reach Senior Medical Case Management status.
• Travel may entail approximately 70% of work time.
• Must maintain a valid driver's license in state of residence.