Nurse Case Manager: Return-to-Work & Care Coordination

AF Group; Atlanta (GA); On-site; USD 63,000 - 90,000; Full time

Job summary

AF Group is seeking a Nurse Case Manager to apply clinical expertise in reviewing workers' compensation claims and coordinating appropriate medical care for injured workers.

The NCM will assess medical status, determine necessity of treatment, and collaborate with claim handlers to facilitate timely return to work while ensuring compliance with state regulations and company standards.

Qualifications

• Active RN license required.
• BSN preferred; certification in relevant field encouraged.
• Continuous learning as defined by company learning philosophy.

Responsibilities

• Review and manage workers' compensation cases per policy and guidelines.
• Assess medical status and determine necessity/reasonableness of proposed and ongoing treatment.
• Coordinate medical care and return-to-work plans with claim handlers.
• Communicate decisions and implications to claim handlers with clear documentation.
• Ensure adherence to applicable laws and company codes of conduct during case management.

Skills

Time management

Communication

Clinical judgment

Teamwork

Education

RN license

BSN preferred

Certification preferred

Tools

Microsoft Windows Suite

General computer skills

Job description

AF Group is seeking a Nurse Case Manager to apply clinical expertise in reviewing workers' compensation claims and coordinating appropriate medical care for injured workers.

The NCM will assess medical status, determine necessity of treatment, and collaborate with claim handlers to facilitate timely return to work while ensuring compliance with state regulations and company standards.