Medical Case Manager - Workers' Compensation

ForzaCare; San Jose (CA); On-site; USD 90,000 - 120,000; Full time

Job summary

ForzaCare in San Jose, CA is seeking a Field Medical Case Manager to coordinate care for injured workers, liaise with medical providers, employers, and insurers, and ensure timely, compliant return-to-work plans.

The role is ideal for licensed nurses or CRCs, with strong preference for workers'' compensation experience; travel to appointments may be required; a valid driver''s license is needed to visit workplaces and providers.

Qualifications

• Active RN or CRC license required.
• CCM, CIRS or other case management credentials preferred.
• Must comply with all state licensure requirements.
• Prior workers' compensation case management experience strongly preferred.
• Valid driver''s license and ability to travel to appointments.

Responsibilities

• Coordinate care between medical providers, employers, insurance carriers, and injured workers.
• Attend appointments with injured workers, including visits to workplaces.
• Develop and monitor individualized recovery goals and return-to-work plans.
• Provide consistent communication and progress reports to clients and stakeholders.
• Ensure case management work meets customer and compliance requirements.
• Build and maintain relationships with clients, providers, and internal teams.

Skills

Motivated

Organized

Collaborative

Committed

Education

RN license

CRC license

CCM/CIRS preferred

Job description

About Us

Founded in 2022, ForzaCare is a purpose-driven organization that helps injured individuals recover faster and return to work safely through coordinated, clinically appropriate care. Our name reflects our mission - Forza means \"strength,\" representing the power of our team, and Care reflects our compassion for those we serve.

ForzaCare is proud to be part of Ethos Risk Services, a leading national provider of investigative and risk mitigation solutions. Together, we're expanding our reach and strengthening our ability to deliver exceptional service across the workers' compensation industry. Learn more about ForzaCare and Ethos partnership here.

Job Summary

As a Field Medical Case Manager at ForzaCare, you'll help injured workers navigate their recovery and return to work. You'll act as the central point of coordination, connecting the injured worker, medical providers, employers, and insurance carriers to ensure timely, transparent, and effective care management.

This role is ideal for licensed nurses or certified rehabilitation counselors

While prior experience in workers' compensation is strongly preferred, those who have it will find their background especially valuable in this role.

Key Responsibilities

• Coordinate care between medical providers, employers, insurance carriers, and injured workers.


• Attend appointments with the injured workers, which may include visiting employers and injured workers at their place of employment.


• Develop, document, and monitor individualized recovery goals and return-to-work plans.


• Provide consistent communication and detailed progress reports to clients and stakeholders.


• Ensure all case management work meets or exceeds customer and compliance requirements.


• Build and maintain strong relationships with clients, providers, and internal team members.

Qualifications

Education & Licensure

• Active Registered Nurse (RN) or Certified Rehabilitation Counselor (CRC) license with associated college degree is required.


• Additional certifications such as CCM, CIRS, or other case management credentials are preferred.


• Must comply with all state-specific licensure and certification requirements.


• Prior experience in workers' compensation case management is strongly preferred.


• Valid driver's license, reliable transportation, and auto insurance with ability to travel to appointments.

Skills & Attributes

At ForzaCare, we look for professionals who embody our values and thrive in a collaborative, purpose-driven environment:

• Motivated –You take pride in exceeding goals and continuously improving.


• Organized – You can manage a fast-paced workload and multiple priorities with ease.


• Collaborative – You communicate clearly and work well with diverse teams and stakeholders.


• Committed – You uphold ForzaCare's mission to deliver high-quality, compassionate care and comply with all safety, ethical, and professional standards.

ForzaCare is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic.