Nurse Case Manager

CCMSI; Florida; Hybrid; USD 65,000 - 70,000; Full time

Benefits offered by this job

PTO & holidays

Medical/Dental/Vision/Life/Disability

401(k) + ESOP

Career development

Stock ownership

Job summary

CCMSI, a leading workers’ compensation third-party administrator, seeks a Nurse Case Manager to join the Maitland team. You’ll manage workers’ compensation files, coordinate medical care, and collaborate with injured workers, providers, employers, and internal claim teams to support timely return to work.

This hybrid role offers a competitive salary, strong growth potential, and a mission-driven environment. Active RN license is required; BSN and 3–5 years of clinical experience are preferred.

Qualifications

• Active RN license required.
• Strong communication skills in both verbal and written form.
• Proficiency with Microsoft Office (Word, Outlook, Excel).
• Excellent documentation, planning and organization.
• Ability to adapt to changing priorities professionally.
• Reliable attendance and client service commitment.

Responsibilities

• Perform comprehensive case management for workers’ compensation claims.
• Assess medical status, work capacity, and treatment needs.
• Develop and document action plans to achieve MMI.
• Collaborate with providers, claim adjusters, employers, and attorneys as applicable.
• Coordinate and monitor medical treatment; recommend IMEs and site evaluations as needed.
• Evaluate treatment plans for necessity and appropriateness.
• Document file activity clearly per CCMSI standards.
• Report measurable cost savings and outcomes.
• Provide on-site or virtual support at medical appointments.

Skills

Active RN license

Verbal and written communication

Microsoft Office

Documentation

Organization

Reliability

Education

BSN preferred

Job description

Overview

Nurse Case Manager – Workers’ Compensation

Location: Maitland, FL

Work Arrangement: Hybrid preferred, remote considered

Schedule: Monday–Friday, 8:00 AM–4:30 PM ET

Salary: $65,000-$70,000 annually

Licensing Requirement: Active RN license required

Build Your Career With Purpose at CCMSI

At CCMSI, we don’t just manage claims—we support recovery. As a leading Third Party Administrator and a certified Great Place to Work®, we offer manageable caseloads, employee ownership, and a team-focused environment where your clinical expertise can make a meaningful impact.

About The Role

We’re seeking a Nurse Case Manager to join our growing Albuquerque team. In this role, you’ll manage workers’ compensation files with a focus on providing high-quality, cost-effective medical care that leads to safe and timely return to work. You’ll collaborate with injured workers, providers, employers, and internal claim teams to ensure treatment aligns with established recovery goals.

This is a great opportunity for a registered nurse ready to apply clinical skills in a dynamic, outcomes-driven setting with growth potential.

Responsibilities

What You’ll Do

• Perform comprehensive case management for assigned workers’ compensation claims
• Assess claimants’ medical status, work capacity, and treatment needs
• Develop and document action plans to achieve Maximum Medical Improvement (MMI)
• Collaborate with treating providers, claim adjusters, employers, and—when applicable—attorneys
• Coordinate and monitor medical treatment; recommend IMEs, second opinions, and site evaluations as appropriate
• Evaluate treatment plans for necessity and appropriateness
• Document all file activity clearly and in alignment with CCMSI and jurisdictional standards
• Report measurable cost savings and outcomes
• Participate in problem-solving discussions to support efficient claim resolution
• Provide on-site or virtual support at medical appointments, as needed

Qualifications

What You’ll Bring

Required

• Active RN license
• Strong verbal and written communication skills
• Proficiency in Microsoft Office (Word, Outlook, Excel)
• Excellent documentation, planning, and organizational skills
• Ability to manage changing priorities in a professional, compassionate manner
• Reliable attendance and commitment to client service

Preferred

• BSN and/or 3–5 years of clinical experience in trauma, rehab, ortho, occupational medicine, or workers’ comp
• Prior case management experience
• Working knowledge of medical necessity, MMI, RTW planning, and care coordination
• Familiarity with utilization review, IME processes, and WC best practices
• CCM
• CDM

Performance Metrics

• Cost savings and documented outcomes
• Timely coordination and resolution of claims
• Successful achievement of MMI and RTW
• Compliance with documentation and quality standards

What We Offer

• 4 weeks PTO + 10 paid holidays in your first year
• Medical, Dental, Vision, Life & Disability Insurance
• 401(k) and Employee Stock Ownership Plan (ESOP)
• Career development, training programs, and internal mobility
• Supportive, mission-driven work environment

Our Core Values

At CCMSI, We Believe In Doing What’s Right—for Our Clients, Coworkers, And Ourselves. Our Team Members Are Guided By Values Of

• Integrity, trust, and respect
• Passionate client service
• Continuous improvement
• Team collaboration
• Leadership at every level

Compensation & Compliance

The posted wage reflects CCMSI’s good-faith estimate in accordance with applicable pay transparency laws. Actual pay will be based on experience, qualifications, and internal equity. This role may also be eligible for additional compensation or bonuses.

Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.

ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team.

Equal Opportunity Employer: CCMSI is an Aff…?

Background checks are conducted only after a conditional offer of employment.

If you’re ready to make a real difference in the lives of injured workers while advancing your own career, we’d love to meet you.

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