Nurse Case Manager

Jobtailor; Connecticut; On-site; USD 85,000 - 110,000; Full time

Job summary

Jobtailor is seeking an experienced RN in Connecticut to lead clinical assessments by phone and medical records for complex cases. You will design individualized case management plans to support medical stability and timely return to work, coordinating with internal and external stakeholders to evaluate injury and work capacity.

You will apply guidelines and company policies to ensure compliant decisions, focusing on medical care and functional recovery while collaborating with supervisors to

Qualifications

• RN with licensure in the state; willingness to pursue additional certifications.
• Experience in clinical settings and case management activities.
• Ability to navigate multiple systems and produce clear communications.

Responsibilities

• Perform comprehensive clinical assessments via telephonic interviews and records.
• Develop and implement individualized case management strategies.
• Coordinate with internal/external stakeholders to assess injury and work capacity.
• Apply clinical guidelines and regulatory requirements to decisions.
• Promote medical care and functional recovery toward return-to-work goals.
• Collaborate with supervisors and teams to remove barriers and improve claims performance.

Skills

Telephonic communication

Written communication

Case management

Stakeholder coordination

Prioritization

Education

Associate's Degree in Nursing

Bachelor’s degree in nursing

Tools

Microsoft Office

Job description

Responsibilities

• Conduct comprehensive clinical assessments using telephonic interviews, medical records, and data from multiple sources, addressing complex conditions including co‑morbidities and biopsychosocial factors
• Develop and implement individualized case management strategies to support medical stability and timely return to work
• Identify complex cases requiring additional coordination and collaborate with internal and external stakeholders to evaluate injury, causation, and work capacity
• Apply clinical guidelines, company policies, and regulatory requirements to ensure compliant and appropriate case management decisions
• Utilize a holistic approach to focus on medical care and functional recovery, promoting efficient treatment and return‑to‑work outcomes
• Partner with supervisors and cross‑functional teams to address barriers, resolve issues, and support overall claim performance through meetings and case reviews

Requirements

• RN with current unrestricted state licensure (CA is preferred)
• Associate's Degree in Nursing required
• Minimum 3 years of clinical experience in one or more of the following: Acute care, Orthopedics, Rehabilitation, Occupational/industrial health, Behavioral health, Disability Case management
• CCM, CDMS, CRC, CVE, and/or current CRRN or willingness to pursue
• Bachelor’s degree in nursing
• Workers Compensation case management experience
• Proficiency in Microsoft Office and navigating multiple systems
• Ability to effectively communicate telephonically and in written form
• Must meet productivity & quality expectations
• Ability to independently and effectively organize and prioritize daily work